Provider Demographics
NPI:1821356882
Name:ST FRANCIS INTEGRATIVE MEDICINE AND WELLNESS INC
Entity Type:Organization
Organization Name:ST FRANCIS INTEGRATIVE MEDICINE AND WELLNESS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RYAN
Authorized Official - Middle Name:
Authorized Official - Last Name:OVERTON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:706-507-0777
Mailing Address - Street 1:5771 VETERANS PKWY
Mailing Address - Street 2:SUITE A2
Mailing Address - City:COLUMBUS
Mailing Address - State:GA
Mailing Address - Zip Code:31904-9091
Mailing Address - Country:US
Mailing Address - Phone:706-507-0777
Mailing Address - Fax:706-660-0805
Practice Address - Street 1:5771 VETERANS PKWY
Practice Address - Street 2:SUITE A2
Practice Address - City:COLUMBUS
Practice Address - State:GA
Practice Address - Zip Code:31904-9091
Practice Address - Country:US
Practice Address - Phone:706-507-0777
Practice Address - Fax:706-660-0805
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-27
Last Update Date:2012-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Multi-Specialty