Provider Demographics
NPI:1134466303
Name:THE INTEGRITY NETWORK MEDICAL GROUP, LLC
Entity Type:Organization
Organization Name:THE INTEGRITY NETWORK MEDICAL GROUP, LLC
Other - Org Name:TING MEDICAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO/ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:DELORES
Authorized Official - Middle Name:
Authorized Official - Last Name:SEARSS
Authorized Official - Suffix:
Authorized Official - Credentials:LICENSE NURSE
Authorized Official - Phone:770-256-4019
Mailing Address - Street 1:812 SCENIC CREEK DR
Mailing Address - Street 2:
Mailing Address - City:LAWRENCEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30046-7802
Mailing Address - Country:US
Mailing Address - Phone:770-256-4019
Mailing Address - Fax:770-685-1145
Practice Address - Street 1:812 SCENIC CREEK DR
Practice Address - Street 2:
Practice Address - City:LAWRENCEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30046-7802
Practice Address - Country:US
Practice Address - Phone:770-256-4019
Practice Address - Fax:770-685-1145
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-08
Last Update Date:2013-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPN35200251300000X, 251J00000X, 253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care
No251300000XAgenciesLocal Education Agency (LEA)
No253Z00000XAgenciesIn Home Supportive Care