Organization
C2 MEDICAL SOLUTIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHANDLER MARSHALL CONNER PHARM. D. (CEO/PIC)
(706) 521-0272
Entity
Organization
Contact information
Practice address
100 HAWTHORNE LN, SUITE A, ATHENS, GA 30606-2171
(706) 521-0272
(706) 353-8134
Mailing address
100 HAWTHORNE LN, SUITE A, ATHENS, GA 30606-2171
(706) 521-0272
(706) 353-8134
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
PHRE009782
GA
3336H0001X
Home Infusion Therapy Pharmacy
Primary
PHRE009782
GA
3336S0011X
Specialty Pharmacy
PHRE009782
GA
Other
Enumeration date
10/20/2011
Last updated
08/10/2015
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