Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Innovative Medical, Inc

Organization Family Medicine Physician · NPI 1003146143

Innovative Medical, Inc is a Family Medicine Physician in Suwanee, Georgia. Licensed in Georgia. Registered with an NPI since 2010.

Licensed in
GA
In the registry since
2010
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1300 Peachtree Industrial Blvd Ste 2203
Suwanee, GA 30024-4539
Phone: (770) 988-2779
Fax: (678) 730-0229
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 058168 (GA)

Record details

NPI number1003146143
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Connie Jeon — Clinic Director · (770) 988-2779
Other names Novo Total Wellness
NPI enumeratedJanuary 13, 2010
Last updated in NPPESJanuary 13, 2010
Mailing address1300 Peachtree Industrial Blvd, Suite 2203, Suwanee, GA 30024-4539

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