Organization
INTERMED HEALTH CARE SERVICES, INC.
Active
Other names
InterMed SOURCE
Organization subpart
No
Provider details
NPI number
Authorized official
OLGA BOTEZAT (ADMINISTRATOR)
(770) 722-3565
Entity
Organization
Contact information
Practice address
1770 OLD SPRING HOUSE LN STE 108, ATLANTA, GA 30338-6213
(770) 455-3817
(770) 455-3828
Mailing address
PO BOX 767547, ROSWELL, GA 30076-7547
(770) 455-3828
(770) 455-3828
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
044-R-0427
GA
Other
Enumeration date
06/16/2013
Last updated
06/16/2013
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