Organization
NIMBA INTEGRATIVE PRACTICE LLC
Active
Parent organization
NONE
Other names
NIMBA INTEGRATIVE PRACTICE LLC STONE MOUNTAIN
Organization subpart
Yes
Provider details
NPI number
Legal business name
NONE
Authorized official
MRS. ASATA KAMARA APRN ASATA KAMARA DNP (OWNER)
(470) 918-9719
Entity
Organization
Contact information
Practice address
5300 MEMORIAL DR STE 101, STONE MOUNTAIN, GA 30083-3154
(470) 918-9719
Mailing address
5300 MEMORIAL DR STE 101, STONE MOUNTAIN, GA 30083-3154
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/10/2023
Last updated
10/11/2023
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