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1801405998
INTEGRATED MEDICAL OF GEORGIA, LLC
MARIETTA, GA
NPI
1801405998
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Entity Type
Organization
Authorized Contact
ENRIQUE CRESPO
Clinic Administrator
770-428-4909
Organization Subpart ?
No
Primary Taxonomy
208D00000X General Practice
Enumeration Date
2020-07-24
Last Update Date
2020-07-24
Business Address
INTEGRATED MEDICAL OF GEORGIA, LLC
596 SEMINOLE DR NE
MARIETTA, GA 30060-1508
Phone number: 770-428-4909
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Mailing Address
INTEGRATED MEDICAL OF GEORGIA, LLC
596 SEMINOLE DR NE
MARIETTA, GA 30060-1508
Phone number: 770-428-4909
Copy
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