Provider Demographics
NPI:1629699160
Name:INTEGRITY BUSINESS MANAGEMENT, LLC
Entity Type:Organization
Organization Name:INTEGRITY BUSINESS MANAGEMENT, LLC
Other - Org Name:INTEGRITY HEALTH MEDICAL GROUP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:CHUKELU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:800-559-4704
Mailing Address - Street 1:3796 SATELLITE BLVD STE 201
Mailing Address - Street 2:
Mailing Address - City:DULUTH
Mailing Address - State:GA
Mailing Address - Zip Code:30096-5698
Mailing Address - Country:US
Mailing Address - Phone:800-559-4707
Mailing Address - Fax:
Practice Address - Street 1:3796 SATELLITE BLVD STE 201
Practice Address - Street 2:
Practice Address - City:DULUTH
Practice Address - State:GA
Practice Address - Zip Code:30096-5698
Practice Address - Country:US
Practice Address - Phone:800-559-4707
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-06
Last Update Date:2020-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency MedicineGroup - Multi-Specialty
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No261QR1100XAmbulatory Health Care FacilitiesClinic/CenterResearchGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA1376830174Medicaid