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NPI Code Detail

MEDICARE: GEORGIA IV THERAPY SERVICES, LLC

MEDICARE: GEORGIA IV THERAPY SERVICES, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208D00000XGeneral Practice Physician

General Provider Information

NPI Number : 1255278818
Entity Type Code : Organization
Provider Name (Legal Business Name) : GEORGIA IV THERAPY SERVICES, LLC
Provider Business Mailing Address
First Line : 6065 ROSWELL RD STE 515
Second Line :
City : ATLANTA
State : GA
Zip : 30328-4015
Country : US
Telephone Number : 312-409-5425
Fax Number :
Provider Business Practice Location Address
First Line : 6065 ROSWELL RD STE 515
Second Line :
City : ATLANTA
State : GA
Zip : 30328-4015
Country : US
Telephone Number : 312-409-5425
Fax Number :
Authorized Official
Title or Position : PURCHASING AND INVENTORY
Name : ELIYAHU YITZHAK CARUTHERS
Credential :
Telephone Number : 224-390-0191
Provider Enumeration Date : 05/01/2026
Last Update Date : 05/01/2026

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Directions to “GEORGIA IV THERAPY SERVICES, LLC ” Practice Location

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