NPI 1104294461

Atlanta Center for Integrative Med

Organisation Exclusive Provider Organization Atlanta, GA

Practice location

Address: 2751 Buford Hwy NE Suite 700, Atlanta, GA 30324-3207
Phone: (404) 386-6510
Fax: (702) 975-5031
Mailing address: 2751 Buford Hwy Suite 700, Atlanta, GA 30324

Authorised official

Name: Michele Sewell
Title: MD, Faap
Phone: (404) 386-6510

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X Licence 036281 (GA)

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Registry record

NPI: 1104294461
Entity type: Organization
NPI issued: 3 Sep 2015
Record last updated: 3 Sep 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.