Provider Demographics
NPI:1952006223
Name:INFUSION ASSOCIATES OF GEORGIA
Entity Type:Organization
Organization Name:INFUSION ASSOCIATES OF GEORGIA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:MS
Authorized Official - First Name:MITZI
Authorized Official - Middle Name:
Authorized Official - Last Name:COLLINS
Authorized Official - Suffix:
Authorized Official - Credentials:FNP-C
Authorized Official - Phone:470-421-8638
Mailing Address - Street 1:78 EAGLE GLEN DR NE
Mailing Address - Street 2:
Mailing Address - City:CARTERSVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30121-8081
Mailing Address - Country:US
Mailing Address - Phone:470-421-8638
Mailing Address - Fax:
Practice Address - Street 1:16 COLLINS DR STE B
Practice Address - Street 2:
Practice Address - City:CARTERSVILLE
Practice Address - State:GA
Practice Address - Zip Code:30120-2481
Practice Address - Country:US
Practice Address - Phone:470-421-8638
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-04
Last Update Date:2023-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QI0500XAmbulatory Health Care FacilitiesClinic/CenterInfusion Therapy
No261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiology