| International Community Medical Network, Llc | |
|
1900 Windsor Dr Sw Atlanta GA 30311-4414 | |
| (559) 455-3934 | |
| Not Available |
| Full Name | International Community Medical Network, Llc |
|---|---|
| Speciality | Preventive Medicine - Public Health & General Preventive Medicine |
| Location | 1900 Windsor Dr Sw, Atlanta, Georgia |
| Authorized Official Name and Position | Kwame Makini (CEO) |
| Authorized Official Contact | 5594553934 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| International Community Medical Network, Llc 1900 Windsor Dr Sw Atlanta GA 30311-4414 Ph: (559) 455-3934 | International Community Medical Network, Llc 1900 Windsor Dr Sw Atlanta GA 30311-4414 Ph: (559) 455-3934 |
| NPI Number | 1750721221 |
|---|---|
| Provider Enumeration Date | 06/28/2013 |
| Last Update Date | 06/28/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750721221 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Secondary |
| 2083P0901X | Preventive Medicine - Public Health & General Preventive Medicine | (* (Not Available)) | Primary |
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