Organization
INFUSIMED, LLC
Active
Organization
INFUSIMED, LLC
Active
Parent organization
FAEBRIS MEDICAL & COMMUNITY EDUCATION
Organization subpart
Yes
Provider details
NPI number
Legal business name
FAEBRIS MEDICAL & COMMUNITY EDUCATION
Authorized official
DR. ZANDRAETTA L TIMS-COOK MD (OWNER)
(844) 884-9691
Entity
Organization
Contact information
Practice address
2193 CASCADE RD SW, ATLANTA, GA 30311-2862
(844) 884-9691
(404) 907-4052
Mailing address
3939 LAVISTA RD # E-310, TUCKER, GA 30084-5162
(844) 884-9691
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003111898
—
GA
Enumeration date
05/28/2020
Last updated
05/28/2020
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