Healthcare Provider Details

I. General information

NPI: 1598088353
Provider Name (Legal Business Name): MEDICAL INFUSION TECHNOLOGIES,INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/09/2010
Last Update Date: 01/07/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

149 RIVERWALK BLVD SUITE 6
RIDGELAND SC
29936-8190
US

IV. Provider business mailing address

PO BOX 13663
SAVANNAH GA
31416-0663
US

V. Phone/Fax

Practice location:
  • Phone: 912-691-0333
  • Fax: 912-691-1030
Mailing address:
  • Phone: 912-691-0333
  • Fax: 912-691-1030

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251F00000X
TaxonomyHome Infusion Agency
License Number
License Number StateGA

VIII. Authorized Official

Name: MR. WILLIAM C. PARKER
Title or Position: CEO
Credential:
Phone: 912-925-1905