Integra Clinical Services, Llc-Ga

NPI #1144821323 in Austell, Georgia

Provider Information

NPI Number: 1144821323
Entity Type: Organization
Organization Name: Integra Clinical Services, Llc-Ga
Primary Specialty: Internal Medicine
Enumeration Date: Nov 4, 2020
Last Updated: Nov 4, 2020

Practice Location

Address: 135 RIVERSIDE PKWY SW
City: Austell
State: Georgia
ZIP Code: 30168-7749
Phone: (844) 856-9355

Authorized Official

Name: ERIC NIXON
Title: OWNER
Phone: (844) 856-9355

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine - Critical Care Medicine — Critical Care Medicine	207RC0200X
Clinic/Center - Hearing and Speech — Hearing and Speech	261QH0700X
Internal Medicine	207R00000X	Primary

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