Organization
CISCURA, INC
Active
Other names
Ciscura Infusion Services
Organization subpart
No
Provider details
NPI number
Authorized official
ROLLYNE P KLEM RN CRNI OCN (PRESIDENT)
(678) 762-1520
Entity
Organization
Contact information
Practice address
360 WINKLER DR, SUITE F, ALPHARETTA, GA 30004-0764
(678) 762-1520
(678) 762-1521
Mailing address
360 WINKLER DR, SUITE F, ALPHARETTA, GA 30004-0764
(678) 762-1520
(678) 762-1521
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
073277194A
—
GA
01
—
52212542-001
BCBS
GA
05
—
DM1243
—
SC
Enumeration date
05/17/2006
Last updated
06/11/2009
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