| NPI | 1417593047 |
|---|---|
| Other Name | INTEGRATIVE MEDICAL GROUP AND MEDICAL SPA, INC |
| Entity Type | Organization |
| Authorized Contact | AVA COOPER-CADRES CEO 678-463-1719 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2019-11-19 |
| Last Update Date | 2019-11-19 |