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Organization

ATLAS INTEGRATIVE MEDICINE AND SPINE CENTER LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
THOMAS HUMBER (OWNER)
(770) 251-4345
Entity
Organization

Contact information

Practice address
820 EBENEZER CHURCH RD, SHARPSBURG, GA 30277-2073
(770) 251-4345
(770) 251-8072
Mailing address
820 EBENEZER CHURCH RD, SHARPSBURG, GA 30277-2073
(770) 251-4345
(770) 251-8072

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
67600
GA
332B00000X
Durable Medical Equipment & Medical Supplies
GA
363LP2300X
Primary Care Nurse Practitioner
176824
GA

Other

Enumeration date
02/11/2013
Last updated
03/26/2014
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