| Georgia Integrated Health | |
|
525 Mica Trce Atlanta GA 30349-8479 | |
| (678) 477-3476 | |
| (770) 991-4803 |
| Full Name | Georgia Integrated Health |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 525 Mica Trce, Atlanta, Georgia |
| Authorized Official Name and Position | Diane Boulai (CEO) |
| Authorized Official Contact | 6784773476 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Georgia Integrated Health 1075 Zonolite Rd Ne Suite 1a Atlanta GA 30306-2013 Ph: (678) 477-3476 | Georgia Integrated Health 525 Mica Trce Atlanta GA 30349-8479 Ph: (678) 477-3476 |
| NPI Number | 1508208836 |
|---|---|
| Provider Enumeration Date | 07/29/2013 |
| Last Update Date | 07/29/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508208836 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (Georgia) | Primary |
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