Intentional Hearts, Inc.

NPI 1003056698 - Clinic/Center - 261QM0801X

NPI Details
NPI 1003056698
Enumeration Date 02/23/2009
Last Updated 02/23/2009
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name MICHAEL TODD MICHAEL TODD
Position PRESIDENT
Phone (770) 623-3331
Fax
Practice Location
4200 NORTHSIDE PKWY NW
BLDG 1, STE 200
ATLANTA GA, 30327-3054, US
Phone (770) 623-3331
Fax
Business Location
4200 NORTHSIDE PKWY NW
BLDG 1, STE 200
ATLANTA GA, 30327-3054, US
Phone (770) 623-3331
Fax
Toxanomy
Taxonomy Code 261QM0801X
License State Georgia
License Number LPC004107
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According to our database, Intentional Hearts, Inc. NPI is 1003056698, taxonomy code is 261QM0801X and license number is LPC004107, license state is located at Georgia. Intentional Hearts, Inc. physically located at 4200 Northside Pkwy Nw, Atlanta GA, 30327-3054. NPI Number 1033115704 has the healthcare provider type.

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1003056698 NPI number is provided on an as is basis without warranty of any kind. 1003056698 is maintained by the National Plan & Provider Enumeration System. The contents of Intentional Hearts, Inc. are for informational purposes only.