OrganizationIntegrative Medicine Physician Center PcInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address4300 Devonshire Rd Ste 1, Harrisburg, PA 17109-1540(717) 540-8594PECOS EnrollmentBased on the most recent information from CMS, provider Integrative Medicine Physician Center Pc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 15 days ago.Profile DetailsProvider ID1962583443Provider TypeOrganizationFull NameIntegrative Medicine Physician Center PcSubpartNoEnumeration Date10/18/2006Last Updated6/15/2023Contact InformationPractice LocationPractice Address4300 Devonshire Rd Ste 1, Harrisburg, PA 17109-1540Phone(717) 540-8594Fax(717) 540-9093Mailing LocationMailing AddressPO Box 60762, Harrisburg, PA 17106Phone(717) 540-8594Fax(717) 540-9093Authorized OfficialNameWilliams, Jessica Y (President)Phone(717) 540-8594Provider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseMD064090LPennsylvaniaCode171100000XDescriptionAcupuncturistOther Service ProvidersLicensePAK000014PennsylvaniaCode207R00000XDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseUnlisted Issuer