Healthcare Provider Details
I. General information
NPI: 1487895827
Provider Name (Legal Business Name): ACCESS INFUSIONS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/16/2009
Last Update Date: 03/16/2009
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1000 TOWNE CENTER BLVD SUITE 705
POOLER GA
31322-4052
US
IV. Provider business mailing address
7370 HODGSON MEMORIAL DR SUITE B1
SAVANNAH GA
31406-2536
US
V. Phone/Fax
- Phone: 912-358-0813
- Fax: 912-358-0813
- Phone: 912-358-0813
- Fax: 912-358-0813
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QI0500X |
| Taxonomy | Infusion Therapy Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MS.
HOLLY
J
KILE
Title or Position: SECRETARY
Credential:
Phone: 912-358-0813