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Organization

PEACHTREE INFUSION, LLC

Active
Other names
Vital Care of Peachtree City
Organization subpart
No

Provider details

NPI number
Authorized official
LOGAN E. DAVIS (OWNER/MANAGING MEMBER)
(470) 975-2930
Entity
Organization

Contact information

Practice address
1000 COMMERCE DR STE 300, PEACHTREE CITY, GA 30269-3520
(470) 975-2930
(470) 975-2931
Mailing address
1000 COMMERCE DR STE 300, PEACHTREE CITY, GA 30269-3520
(470) 975-2930
(470) 975-2931

Taxonomy

Speciality
Code
Description
License number
State
251F00000X
Home Infusion Agency
332B00000X
Durable Medical Equipment & Medical Supplies
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
333600000X
Pharmacy
3336C0004X
Compounding Pharmacy
3336H0001X
Home Infusion Therapy Pharmacy
Primary

Other

Enumeration date
01/13/2025
Last updated
01/13/2025
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