Provider Demographics
NPI:1831942853
Name:PRIME INTEGRATIVE HEALTHCARE
Entity type:Organization
Organization Name:PRIME INTEGRATIVE HEALTHCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:
Authorized Official - Last Name:BAAITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-456-4442
Mailing Address - Street 1:2085 METROPOLITAN PKWY SW
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30315-5926
Mailing Address - Country:US
Mailing Address - Phone:404-305-0036
Mailing Address - Fax:404-765-0107
Practice Address - Street 1:2085 METROPOLITAN PKWY SW
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30315-5926
Practice Address - Country:US
Practice Address - Phone:404-305-0036
Practice Address - Fax:404-765-0107
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-09
Last Update Date:2024-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty