Healthcare Provider Details

I. General information

NPI: 1679143309
Provider Name (Legal Business Name): INFECTION PREVENTION STRATEGIES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/25/2021
Last Update Date: 06/25/2021
Certification Date: 06/25/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1496 HARVEST LN SE
ATLANTA GA
30317-3017
US

IV. Provider business mailing address

1496 HARVEST LN SE
ATLANTA GA
30317-3017
US

V. Phone/Fax

Practice location:
  • Phone: 470-223-1245
  • Fax:
Mailing address:
  • Phone: 470-223-1245
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code163WI0600X
TaxonomyInfection Control Registered Nurse
License Number
License Number State

VIII. Authorized Official

Name: KALI CROSBY
Title or Position: CEO
Credential: RN
Phone: 470-223-1245