Organization
ATLAS INTEGRATED HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERICA SUSSEX-GRANT DC (REGISTERED AGENT/MANAGER)
(505) 325-2604
Entity
Organization
Contact information
Practice address
4740 N BUTLER AVE, FARMINGTON, NM 87401-0826
(505) 325-2604
(505) 327-1976
Mailing address
4740 N BUTLER AVE, FARMINGTON, NM 87401-0826
(505) 325-2604
(505) 327-1976
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
04/12/2021
Last updated
04/12/2021
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