Organization
IMPEDIO HEALTHCARE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL IMANI ND, PH.D. (CEO)
(770) 454-1363
Entity
Organization
Contact information
Practice address
3805 PRESIDENTIAL PKWY, STE 106, ATLANTA, GA 30340-3720
(770) 454-1363
Mailing address
PO BOX 56147, ATLANTA, GA 30343-0147
(770) 454-1363
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
12/09/2015
Last updated
12/09/2015
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