Provider Demographics
NPI:1093031098
Name:VACCINES 2 GO, INC.
Entity Type:Organization
Organization Name:VACCINES 2 GO, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:JODY
Authorized Official - Middle Name:
Authorized Official - Last Name:STEWART
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-896-8284
Mailing Address - Street 1:3325 PADDOCK PKWY
Mailing Address - Street 2:SUITE 170
Mailing Address - City:SUWANEE
Mailing Address - State:GA
Mailing Address - Zip Code:30024-6059
Mailing Address - Country:US
Mailing Address - Phone:770-896-8284
Mailing Address - Fax:678-672-1263
Practice Address - Street 1:3325 PADDOCK PKWY
Practice Address - Street 2:SUITE 170
Practice Address - City:SUWANEE
Practice Address - State:GA
Practice Address - Zip Code:30024-6059
Practice Address - Country:US
Practice Address - Phone:770-896-8284
Practice Address - Fax:678-672-1263
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:VACCINES 2 GO
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-04-15
Last Update Date:2015-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare