Healthcare Provider Details

I. General information

NPI: 1285716670
Provider Name (Legal Business Name): INTEGRATED HEALTHCARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/19/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5270 PEACHTREE PKWY STE: 116
NORCROSS GA
30092-6510
US

IV. Provider business mailing address

5270 PEACHTREE PKWY STE: 116
NORCROSS GA
30092-6510
US

V. Phone/Fax

Practice location:
  • Phone: 770-446-6789
  • Fax: 770-446-7879
Mailing address:
  • Phone: 770-446-6789
  • Fax: 770-446-7879

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. GLENN J KAPLAN
Title or Position: OFFICE MANAGER
Credential: D.C.
Phone: 770-446-6789