Organization
INTEGRATIVE MEDICAL MANAGEMENT GROUP-ATLANTA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CASSAUNDRA GRAVES (OFFICE MANAGER)
(678) 478-4305
Entity
Organization
Contact information
Practice address
4080 MCGINNIS FERRY RD STE 402, ALPHARETTA, GA 30005-3949
(678) 478-4305
Mailing address
710 DACULA RD SUITE 4A #125, DACULA, GA 30019
(678) 608-1984
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
03/22/2018
Last updated
03/22/2018
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