Organization
VITAINFUSE THERAPY LLC
Active
Other names
Vitamedx
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA CAESER NP (CHIEF EXECUTIVE OFFICER)
(678) 488-3902
Entity
Organization
Contact information
Practice address
6254 MEMORIAL DR STE F, STONE MOUNTAIN, GA 30083-2884
(770) 558-1029
Mailing address
6254 MEMORIAL DR STE F, STONE MOUNTAIN, GA 30083-2884
(770) 558-1029
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
06/24/2022
Last updated
10/02/2022
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