Organization
FUSION DIRECT MEDICAL AND WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHERITA AMIN NP-C (PRACTICE OWNER)
(470) 878-1246
Entity
Organization
Contact information
Practice address
1070 EAGLES LANDING PKWY, STOCKBRIDGE, GA 30281-5012
(679) 718-8403
Mailing address
1070 EAGLES LANDING PKWY, STOCKBRIDGE, GA 30281-5012
(678) 718-8403
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
261QH0100X
Health Service Clinic/Center
Primary
—
—
261QI0500X
Infusion Therapy Clinic/Center
—
—
Other
Enumeration date
09/21/2021
Last updated
12/12/2024
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