Organization
INTEGRATIVE WELLNESS CENTERS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAILESH KOTHARI DC (CEO)
(678) 705-4848
Entity
Organization
Contact information
Practice address
1776 PEACHTREE ST NW, SUITE 318N, ATLANTA, GA 30309-2307
(678) 705-4848
(404) 549-3393
Mailing address
3060 PEACHTREE RD NW, SUITE 965, ATLANTA, GA 30305-2234
(678) 904-7564
(678) 904-7569
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
073586
GA
Other
Enumeration date
01/31/2017
Last updated
01/31/2017
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