Organization
INTEGRATIVE MEDICAL MANAGEMENT GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CASSAUNDRA GRAVES (OFFICE MANAGER)
(678) 478-4305
Entity
Organization
Contact information
Practice address
710 DACULA RD STE 4A, DACULA, GA 30019-7014
(678) 478-4305
(678) 608-3411
Mailing address
710 DACULA RD STE 4A #125, DACULA, GA 30019-7014
(678) 478-4305
(678) 608-3411
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
03/21/2018
Last updated
03/21/2018
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