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General NPI Number Information
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NPI Number | 1952006223
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Entity Type | Organization
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Legal Business Name | INFUSION ASSOCIATES OF GEORGIA
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Dates
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Enumeration Date | 04/04/2023
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Last Update Date | 04/27/2023
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Provider Practice Location Address
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Address Line | 16 COLLINS DR STE B
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City | CARTERSVILLE
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State | GA
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Zip | 30120-2481
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Country | US
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Telephone | 470-421-8638
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Fax |
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Provider Business Mailing Address
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Address Line | 78 EAGLE GLEN DR NE
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City | CARTERSVILLE
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State | GA
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Zip | 30121-8081
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Country | US
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Telephone | 470-421-8638
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Fax |
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | MS. MITZI COLLINS
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Credential | FNP-C
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Telephone | 470-421-8638
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0200X
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Taxonomy Name | Radiology Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QI0500X
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Taxonomy Name | Infusion Therapy Clinic/Center
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License Number |
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License Number State |
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