# PURE HEALTHCARE OF GEORGIA LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063184422
- **Authorized official:** JOSHUA TANDY (DIRECTOR)
- **Authorized official phone:** (801) 590-9267

## Contact information

- **Practice address:** 2340 PERIMETER PARK DR STE 100, ATLANTA, GA 30341-1318
- **Practice address phone:** (855) 550-3358
- **Practice address fax:** (801) 327-0211
- **Mailing address:** 4179 S RIVERBOAT RD STE 220, TAYLORSVILLE, UT 84123-2986
- **Mailing address phone:** (855) 550-3358

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QI0500X | Infusion Therapy Clinic/Center | — | NULL | — |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/04/2021
- **Last updated:** 04/28/2025