Provider Demographics
NPI:1093366056
Name:SIMPLY ME INFUSION CENTER LLC
Entity Type:Organization
Organization Name:SIMPLY ME INFUSION CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JANA
Authorized Official - Middle Name:
Authorized Official - Last Name:MCKENZIE
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:843-400-3009
Mailing Address - Street 1:1601 N OAK ST STE 307
Mailing Address - Street 2:
Mailing Address - City:MYRTLE BEACH
Mailing Address - State:SC
Mailing Address - Zip Code:29577-3579
Mailing Address - Country:US
Mailing Address - Phone:843-400-3009
Mailing Address - Fax:843-448-0048
Practice Address - Street 1:1601 N OAK ST STE 307
Practice Address - Street 2:
Practice Address - City:MYRTLE BEACH
Practice Address - State:SC
Practice Address - Zip Code:29577-3579
Practice Address - Country:US
Practice Address - Phone:843-400-3009
Practice Address - Fax:843-448-0048
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-21
Last Update Date:2019-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center