| Discover Integrated Health, Llc | |
|
3940 Cherokee St Nw Ste 402 Kennesaw GA 30144-6420 | |
| (770) 423-9010 | |
| (770) 423-9767 |
| Full Name | Discover Integrated Health, Llc |
|---|---|
| Speciality | General Practice |
| Location | 3940 Cherokee St Nw Ste 402, Kennesaw, Georgia |
| Authorized Official Name and Position | Craig Daniel Gruber (ADMINISTRATOR) |
| Authorized Official Contact | 7704239010 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Discover Integrated Health, Llc 3940 Cherokee St Nw Ste 402 Kennesaw GA 30144-6420 Ph: (770) 423-9010 | Discover Integrated Health, Llc 3940 Cherokee St Nw Ste 402 Kennesaw GA 30144-6420 Ph: (770) 423-9010 |
| NPI Number | 1922525054 |
|---|---|
| Provider Enumeration Date | 08/29/2017 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 7315371648 |
|---|---|
| Medicare Enrollment ID | O20191219001782 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922525054 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Marc J Harrigan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982794772 PECOS PAC ID: 9830104694 Enrollment ID: I20060221000288 |
| Provider Name | Craig D Gruber |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1841392735 PECOS PAC ID: 0648347062 Enrollment ID: I20080925000676 |
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