| Integrated Medicine Of Athens, Llc | |
|
623 N Milledge Ave Unit A Athens GA 30601-3803 | |
| (706) 227-3292 | |
| (888) 809-9345 |
| Full Name | Integrated Medicine Of Athens, Llc |
|---|---|
| Speciality | General Practice |
| Location | 623 N Milledge Ave Unit A, Athens, Georgia |
| Authorized Official Name and Position | Joel Thomas Groft (PRESIDENT) |
| Authorized Official Contact | 7062273292 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrated Medicine Of Athens, Llc 623 N Milledge Ave Unit A Athens GA 30601-3803 Ph: (706) 227-3292 | Integrated Medicine Of Athens, Llc 623 N Milledge Ave Unit A Athens GA 30601-3803 Ph: (706) 227-3292 |
| NPI Number | 1235603176 |
|---|---|
| Provider Enumeration Date | 01/14/2019 |
| Last Update Date | 01/14/2019 |
| Medicare PECOS PAC ID | 1951731959 |
|---|---|
| Medicare Enrollment ID | O20200415000220 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235603176 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Kelleigh Strickland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649338856 PECOS PAC ID: 6406951714 Enrollment ID: I20070416000332 |
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