Integrated Healthcare Center of Hiram LLC

NPI #1699225094 in Hiram, Georgia

Provider Information

NPI Number: 1699225094
Entity Type: Organization
Organization Name: Integrated Healthcare Center of Hiram LLC
Primary Specialty: Specialist
Enumeration Date: Oct 10, 2016
Last Updated: Oct 10, 2016

Practice Location

Address: 47 HIGHLAND PAVILION CT
City: Hiram
State: Georgia
ZIP Code: 30141-4119
Phone: (770) 439-6997

Authorized Official

Name: MONICA SHELTON
Title: OPERATIONS MANAGER
Phone: (678) 730-6240

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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