| The Center For Internal & Integrative Medicine, Pa | |
|
401 S Main St Ste B3 Alpharetta GA 30009-1958 | |
| (404) 836-9906 | |
| (470) 545-4768 |
| Full Name | The Center For Internal & Integrative Medicine, Pa |
|---|---|
| Speciality | Internal Medicine - Obesity Medicine |
| Location | 401 S Main St Ste B3, Alpharetta, Georgia |
| Authorized Official Name and Position | Eduard Fatakhov (FOUNDER/CEO) |
| Authorized Official Contact | 7702567069 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Center For Internal & Integrative Medicine, Pa 401 S Main St Ste B3 Alpharetta GA 30009-1958 Ph: (404) 836-9906 | The Center For Internal & Integrative Medicine, Pa 401 S Main St Ste B3 Alpharetta GA 30009-1958 Ph: (404) 836-9906 |
| NPI Number | 1801256326 |
|---|---|
| Provider Enumeration Date | 02/25/2016 |
| Last Update Date | 02/25/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801256326 | NPI | - | NPPES |
| 1295099018 | Other | GA | NPI INDIVIDUAL |
| 1710241658 | Other | GA | INDIVIDUAL NPI NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RB0002X | Internal Medicine - Obesity Medicine | 71068 (Georgia) | Primary |
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