Organization
SOUTH ATLANTA INTEGRATIVE MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LYNN STANLEY (AUTHORIZED OFFICIAL)
(404) 452-9931
Entity
Organization
Contact information
Practice address
1240 HIGHWAY 54 W, BUILDING 700, SUITE 700, FAYETTEVILLE, GA 30214-4557
(404) 452-9931
Mailing address
1240 HIGHWAY 54 W, BUILDING 700, SUITE 700, FAYETTEVILLE, GA 30214-4557
(404) 452-9931
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
01/04/2016
Last updated
01/04/2016
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