Fountains Infusion Center LLC
NPI #1467016931 in Madison, Mississippi
Provider Information
- NPI Number
- 1467016931
- Entity Type
- Organization
- Organization Name
- Fountains Infusion Center LLC
- Primary Specialty
- Clinic/Center - Infusion Therapy
- Enumeration Date
- Apr 30, 2019
- Last Updated
- Apr 30, 2019
Practice Location
- Address
- 159 FOUNTAINS BLVD STE D
- City
- Madison
- State
- Mississippi
- ZIP Code
- 39110-6344
- Phone
- (601) 859-8200
Authorized Official
- Name
- GEORGE W PHILLIPS
- Title
- MEMBER
- Phone
- (601) 859-8200
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Infusion Therapy — Infusion Therapy |
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