Organization
INTEGRITY IOM. LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RYLEN LEE PETERSON (OWNER)
(765) 586-2801
Entity
Organization
Contact information
Practice address
2124 CHESHIRE BRIDGE RD NE APT 1303, ATLANTA, GA 30324-5719
(765) 586-2801
Mailing address
2124 CHESHIRE BRIDGE RD NE APT 1303, ATLANTA, GA 30324-5719
(765) 586-2801
Taxonomy
Speciality
Code
Description
License number
State
235500000X
Speech/Language/Hearing Specialist/Technologist
—
—
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
—
—
Other
Enumeration date
01/16/2025
Last updated
01/28/2025
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