Integrated Health Center of Ga, LLC

NPI #1972053866 in Buford, Georgia

Provider Information

NPI Number
1972053866
Entity Type
Organization
Organization Name
Integrated Health Center of Ga, LLC
Primary Specialty
Clinical Medical Laboratory
Enumeration Date
Oct 4, 2016
Last Updated
Nov 8, 2016

Practice Location

Address
1400 BUFORD HWY
Address 2
SUITE K2
City
Buford
State
Georgia
ZIP Code
30518-8721
Phone
(470) 326-5750

Authorized Official

Name
DR. OTIS SAMUEL POWELL JR., M.D.
Title
MEDICAL DIRECTOR
Phone
(470) 326-5750

Specialties & Taxonomy Codes

Specialty
Clinical Medical Laboratory

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