Organization
TWELVESTONE MEDICAL, INC
Active
Parent organization
TWELVESTONE MEDICAL, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
TWELVESTONE MEDICAL, INC
Authorized official
WILLIAM SHANE REEVES RPH (CEO, PRESIDENT, SECRETARY, AO)
(615) 278-3146
Entity
Organization
Contact information
Practice address
3500 LOOP RD STE B4, MCDONOUGH, GA 30253-3133
(844) 893-0012
(615) 278-3355
Mailing address
PO BOX 12369, MURFREESBORO, TN 37129-0048
(615) 278-3278
(615) 278-3355
Taxonomy
Speciality
Code
Description
License number
State
3336H0001X
Home Infusion Therapy Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PHHH000083
GA BOP
GA
Enumeration date
06/13/2024
Last updated
03/04/2026
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