Organization
PURE INFUSION OF GEORGIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RACHEL FRAGA (DIRECTOR OF PAYER DEVELOPMENT)
(801) 921-6325
Entity
Organization
Contact information
Practice address
2340 PERIMETER PARK DR STE 100, ATLANTA, GA 30341-1318
(770) 847-8900
Mailing address
4179 S RIVERBOAT RD STE 220, TAYLORSVILLE, UT 84123-2986
(801) 590-9267
Taxonomy
Speciality
Code
Description
License number
State
261QI0500X
Infusion Therapy Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
07/24/2025
Last updated
10/07/2025
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