Healthcare Provider Details

I. General information

NPI: 1205746989
Provider Name (Legal Business Name): ASCRIBE HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/08/2026
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4035 JOHNS CREEK PKWY STE C
SUWANEE GA
30024-1213
US

IV. Provider business mailing address

4035 JOHNS CREEK PKWY STE C
SUWANEE GA
30024-1213
US

V. Phone/Fax

Practice location:
  • Phone: 470-594-6051
  • Fax: 470-221-2333
Mailing address:
  • Phone: 470-594-6051
  • Fax: 470-221-2333

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WI0500X
TaxonomyInfusion Therapy Registered Nurse
License Number
License Number State

VIII. Authorized Official

Name: MANUSHA CHEREDDY
Title or Position: AUTHORIZED OFFICIAL
Credential:
Phone: 978-996-7234