Organization
DUE WEST INFUSION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOLLY C MATTSON (OWNER)
(770) 722-9123
Entity
Organization
Contact information
Practice address
6110 PINE MOUNTAIN RD NW STE 201, KENNESAW, GA 30152-3357
(770) 429-5555
(770) 429-5586
Mailing address
6110 PINE MOUNTAIN RD NW STE 201, KENNESAW, GA 30152-3357
(770) 429-5555
(770) 429-5586
Taxonomy
Speciality
Code
Description
License number
State
163WI0500X
Infusion Therapy Registered Nurse
Primary
—
—
Other
Enumeration date
10/12/2021
Last updated
10/12/2021
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