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Organization
THE IV SPOT, LLC.
Active
Organization
THE IV SPOT, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMIE BOWMAN (CEO)
(678) 739-1879
Entity
Organization
Contact information
Practice address
2799 LAWRENCEVILLE HWY STE 107, DECATUR, GA 30033-2517
(678) 739-1879
Mailing address
2799 LAWRENCEVILLE HWY STE 107, DECATUR, GA 30033-2517
(678) 739-1879
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
—
—
261QH0100X
Health Service Clinic/Center
—
—
261QI0500X
Infusion Therapy Clinic/Center
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
—
—
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
261QU0200X
Urgent Care Clinic/Center
—
—
Other
Enumeration date
10/09/2020
Last updated
02/19/2025
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