Advanced Integrative Medicine Llc | |
9305 Kings Hwy King George VA 22485-3423 | |
(540) 775-2250 | |
(540) 775-2448 |
Full Name | Advanced Integrative Medicine Llc |
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Speciality | General Practice |
Location | 9305 Kings Hwy, King George, Virginia |
Authorized Official Name and Position | Shawn Desmond Pallotti (ADMINISTRATOR) |
Authorized Official Contact | 5407752250 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Advanced Integrative Medicine Llc 9305 Kings Hwy King George VA 22485-3423 Ph: (540) 775-2250 | Advanced Integrative Medicine Llc 9305 Kings Hwy King George VA 22485-3423 Ph: (540) 775-2250 |
NPI Number | 1851884977 |
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Provider Enumeration Date | 06/13/2018 |
Last Update Date | 06/13/2018 |
Medicare PECOS PAC ID | 2668808569 |
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Medicare Enrollment ID | O20200213001298 |
Identifier | Type | State | Issuer |
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1851884977 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208D00000X | General Practice | (* (Not Available)) | Primary |
Provider Name | Bao N Nguyen |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1598713851 PECOS PAC ID: 4183521404 Enrollment ID: I20040803000736 |
Provider Name | Shawn Desmond Pallotti |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1336263250 PECOS PAC ID: 5294914032 Enrollment ID: I20110125000987 |
Provider Name | Luriane D Raymond |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1689972812 PECOS PAC ID: 9739316324 Enrollment ID: I20160712001061 |
Provider Name | Jennah Melynn Ramsey |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1245746833 PECOS PAC ID: 1951728500 Enrollment ID: I20200828000117 |
Provider Name | Jamesha Wise |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1669053385 PECOS PAC ID: 3375947203 Enrollment ID: I20210813001735 |
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