Organization
1ST AMERICA INFUSION SERVICES LLC
Active
Other names
Advanced InfusionCare
Organization subpart
No
Provider details
NPI number
Authorized official
SIMON CASTELLANOS (CEO)
(601) 988-1700
Entity
Organization
Contact information
Practice address
2320 E NORTH ST STE GG-104, GREENVILLE, SC 29607-1247
(229) 242-3060
Mailing address
212 NORTHSIDE DR, VALDOSTA, GA 31602-1858
Taxonomy
Speciality
Code
Description
License number
State
261QI0500X
Infusion Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
05/04/2021
Last updated
11/02/2021
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