Organization
INTEGRATIVE MEDICAL GROUP AND MEDICAL SPA, INC
Active
Other names
Integrative Medical Group and Medical Spa, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
AVA COOPER-CADRES (CEO)
(678) 463-1719
Entity
Organization
Contact information
Practice address
805 LAMBERT DR NE STE C, ATLANTA, GA 30324-4189
(678) 561-3023
Mailing address
805 LAMBERT DR NE STE C, ATLANTA, GA 30324-4189
(678) 561-3023
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Enumeration date
11/19/2019
Last updated
11/19/2019
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