Organization
INNOVATIVE HEALTH CARE INSTITUTE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CSHANYSE AVRIL ALLEN DNP, MSN, RN (CEO)
(706) 705-2033
Entity
Organization
Contact information
Practice address
100 SEAGRAVES DR STE 1, ATHENS, GA 30605-2492
(706) 705-2033
(706) 850-8005
Mailing address
100 SEAGRAVES DR STE 1, ATHENS, GA 30605-2492
(706) 705-2033
(706) 850-8005
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN146812
GA
163W00000X
Registered Nurse
—
—
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
—
—
Other
Enumeration date
07/20/2017
Last updated
08/26/2021
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