Organization
INTEGRATED MEDICINE AND WELLNESS CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALICIA M KOVACH DC (OWNER)
(410) 697-3566
Entity
Organization
Contact information
Practice address
959 ANNAPOLIS RD, GAMBRILLS, MD 21054-1028
(410) 697-3566
(410) 697-3567
Mailing address
959 ANNAPOLIS RD, GAMBRILLS, MD 21054-1028
(410) 697-3566
(410) 697-3567
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
03/01/2021
Last updated
07/25/2024
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