Organization
MIDSOUTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER LOZANO (BILLING MANAGER)
(770) 951-6178
Entity
Organization
Contact information
Practice address
2200 RIVERCHASE CTR, BLD 700 STE 700, BIRMINGHAM, AL 35244-2866
(205) 739-7780
Mailing address
3350 RIVERWOOD PKWY SE, STE 1400, ATLANTA, GA 30339-6401
(770) 951-6178
Taxonomy
Speciality
Code
Description
License number
State
3336H0001X
Home Infusion Therapy Pharmacy
Primary
—
—
Other
Enumeration date
10/09/2008
Last updated
10/09/2008
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