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Organization

INTEGRATED THERAPY SERVICES, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DOUGLAS K MITTLEIDER (PRESIDENT)
(770) 619-0866
Entity
Organization

Contact information

Practice address
5895 WINDWARD PKWY, SUITE 200, ALPHARETTA, GA 30005-5203
(678) 527-2220
(678) 527-2222
Mailing address
5895 WINDWARD PKWY, SUITE 200, ALPHARETTA, GA 30005-5203
(678) 527-2220
(678) 527-2222

Taxonomy

Speciality
Code
Description
License number
State
332BN1400X
Nursing Facility Supplies (DME)
Primary
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)

Other

Enumeration date
07/09/2006
Last updated
08/14/2008
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