Innovative Medical, Inc.

NPI #1003146143 in Suwanee, Georgia

Provider Information

NPI Number: 1003146143
Entity Type: Organization
Organization Name: Innovative Medical, Inc.
Primary Specialty: Family Medicine
Enumeration Date: Jan 13, 2010
Last Updated: Jan 13, 2010

Practice Location

Address: 1300 PEACHTREE INDUSTRIAL BLVD
Address 2: SUITE 2203
City: Suwanee
State: Georgia
ZIP Code: 30024-4539
Phone: (770) 988-2779

Authorized Official

Name: CONNIE Y JEON, DPT, MPH
Title: CLINIC DIRECTOR
Phone: (770) 988-2779

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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