Integrative Wellness Centers, Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

073586 Issued in GA

Legal business name

INTEGRATIVE WELLNESS CENTERS, INC

Practice address

1776 Peachtree St NW
Suite 318N
Atlanta, GA 30309-2307

Phone

(678) 705-4848

Fax

(404) 549-3393

NPI assigned

Jan 31, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Shailesh Kothari, DC

Title

Ceo

Phone

(678) 705-4848

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1485820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485820800000",
    "number": "1396282182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3060 PEACHTREE RD NW",
            "address_2": "SUITE 965",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303052234",
            "telephone_number": "678-904-7564",
            "fax_number": "678-904-7569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1776 PEACHTREE ST NW",
            "address_2": "SUITE 318N",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303092307",
            "telephone_number": "678-705-4848",
            "fax_number": "404-549-3393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE WELLNESS CENTERS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-31",
        "last_updated": "2017-01-31",
        "status": "A",
        "authorized_official_last_name": "KOTHARI",
        "authorized_official_first_name": "SHAILESH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "678-705-4848",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "073586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Internal Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.