Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Integrated Medical of Georgia, LLC

Organization General Practice Physician · NPI 1801405998

Integrated Medical of Georgia, LLC provides General Practice Physician services in Marietta, Georgia. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

596 Seminole Dr NE
Marietta, GA 30060-1508
Phone: (770) 428-4909
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X

Record details

NPI number1801405998
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Enrique Crespo — Clinic Administrator · (770) 428-4909
NPI enumeratedJuly 24, 2020
Last updated in NPPESJuly 24, 2020
Certification dateJuly 24, 2020
Mailing address596 Seminole Dr Ne, Marietta, GA 30060-1508

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