Organization
ADVANCED MEDICAL LLC
Active
Organization
ADVANCED MEDICAL LLC
Active
Other names
Health Care Medical Infusion Specialties
Organization subpart
No
Provider details
NPI number
Authorized official
GREG KANIECKI (EVP, GROWTH & OPERATIONS)
(769) 233-8484
Entity
Organization
Contact information
Practice address
625 S PEAR ORCHARD RD STE A, RIDGELAND, MS 39157-4811
(601) 502-7036
Mailing address
625 S PEAR ORCHARD RD STE A, RIDGELAND, MS 39157-4811
(769) 233-8484
(769) 233-8051
Taxonomy
Speciality
Code
Description
License number
State
251F00000X
Home Infusion Agency
—
—
333600000X
Pharmacy
—
—
3336H0001X
Home Infusion Therapy Pharmacy
Primary
—
—
Other
Enumeration date
04/16/2025
Last updated
07/17/2026
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