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NPI Code Detail

MEDICARE: VIZER HEALTH, LLC

MEDICARE: VIZER HEALTH, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251E00000XHome Health Agency

General Provider Information

NPI Number : 1609506013
Entity Type Code : Organization
Provider Name (Legal Business Name) : VIZER HEALTH, LLC
Provider Business Mailing Address
First Line : PO BOX 141
Second Line :
City : SUMTER
State : SC
Zip : 29151-0141
Country : US
Telephone Number : 803-580-4747
Fax Number :
Provider Business Practice Location Address
First Line : 5555 GLENRIDGE CONNECTOR STE 200
Second Line :
City : ATLANTA
State : GA
Zip : 30342-4815
Country : US
Telephone Number : 678-228-4249
Fax Number :
Authorized Official
Title or Position : OWNER
Name : MS. KIMBERLY DIANNE BILLIE JACKSON
Credential : NP
Telephone Number : 803-580-4747
Provider Enumeration Date : 06/16/2022
Last Update Date : 06/16/2022

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Directions to “VIZER HEALTH, LLC ” Practice Location

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