INTEGRATED-ACTIVHEALTHCARE, LLC

LILBURN, GA
NPI1104967850
Entity TypeOrganization
Authorized ContactMARK BRICKHOUSE
Director Of Operations
770-455-0040
Organization Subpart ?No
Primary Taxonomy305R00000X Preferred Provider Organization
Enumeration Date2007-02-08
Last Update Date2020-08-22
Business Address
INTEGRATED-ACTIVHEALTHCARE, LLC
4566 LAWRENCEVILLE HWY NW
LILBURN, GA 30047-3618
Phone number: 770-455-0040
Mailing Address
INTEGRATED-ACTIVHEALTHCARE, LLC
PO BOX 969
LILBURN, GA 30048-0969
Phone number: 770-455-0040
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