Organization
INNOVATION HEALTHCARE SYSTEMS LLC
Active
Other names
VERSAMED MEDICAL WELLNESS
Organization subpart
No
Provider details
NPI number
Authorized official
MR. COURTNEY A MOTE DC (OWNER)
(706) 778-0077
Entity
Organization
Contact information
Practice address
11680 GREAT OAKS WAY, SUITE 150, ALPHARETTA, GA 30022-2457
(706) 778-0077
Mailing address
PO BOX 147, DEMOREST, GA 30535-0147
(706) 778-0077
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR008431
GA
207Q00000X
Family Medicine Physician
003705
GA
363LF0000X
Family Nurse Practitioner
RN202988
GA
Other
Enumeration date
10/22/2015
Last updated
10/22/2015
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