| Organization Name: | ATLAS INTEGRATIVE MEDICINE AND SPINE CENTER LLC |
| NPI Number: | 1245579234 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | THOMAS HUMBER (OWNER) |
| Mailing Address: | 820 Ebenezer Church Rd Sharpsburg |
| State: | GA US |
| Postal Code: | 302772073 |
| Phone Number: | 7702514345 |
| Fax Number: | 7702518072 |
| NPI Enumeration Date: | 02/11/2013 |
| NPI Last Update Date: | 03/26/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP2300X |
| License Number: | 176824 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | GA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |