# DUE WEST INFUSION

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

## Provider details

- **NPI number:** 1487316873
- **Authorized official:** MOLLY C MATTSON (OWNER)
- **Authorized official phone:** (770) 722-9123

## Contact information

- **Practice address:** 6110 PINE MOUNTAIN RD NW STE 201, KENNESAW, GA 30152-3357
- **Practice address phone:** (770) 429-5555
- **Practice address fax:** (770) 429-5586
- **Mailing address:** 6110 PINE MOUNTAIN RD NW STE 201, KENNESAW, GA 30152-3357
- **Mailing address phone:** (770) 429-5555
- **Mailing address fax:** (770) 429-5586

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WI0500X | Infusion Therapy Registered Nurse | — | NULL | Yes |
| 163WI0500X | Infusion Therapy Registered Nurse | — | — | Yes |

## Other

- **Enumeration date:** 10/12/2021
- **Last updated:** 10/12/2021