Optimal Integrative Care, Llc | |
3193 Howell Mill Rd Nw Ste 204 Atlanta GA 30327-2100 | |
(404) 352-1223 | |
(404) 352-1226 |
Full Name | Optimal Integrative Care, Llc |
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Speciality | Internal Medicine |
Location | 3193 Howell Mill Rd Nw Ste 204, Atlanta, Georgia |
Authorized Official Name and Position | Sharon Page Dickerson (VICE PRESIDENT) |
Authorized Official Contact | 4043521223 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Optimal Integrative Care, Llc 3193 Howell Mill Rd Nw Ste 204 Atlanta GA 30327-2100 Ph: (404) 352-1223 | Optimal Integrative Care, Llc 3193 Howell Mill Rd Nw Ste 204 Atlanta GA 30327-2100 Ph: (404) 352-1223 |
NPI Number | 1962187690 |
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Provider Enumeration Date | 06/20/2023 |
Last Update Date | 02/28/2024 |
Medicare PECOS PAC ID | 2163868456 |
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Medicare Enrollment ID | O20240308001890 |
Identifier | Type | State | Issuer |
---|---|---|---|
1962187690 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
Provider Name | Joel Rosenstock |
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Provider Type | Practitioner - Infectious Disease |
Provider Identifiers | NPI Number: 1497746408 PECOS PAC ID: 4688625288 Enrollment ID: I20100511000726 |
Provider Name | Lorena Torres Williams |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1013315167 PECOS PAC ID: 2163732462 Enrollment ID: I20200604000122 |
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