Organization · Type 2 NPI
Fountains Infusion Center LLC
Infusion Therapy Clinic/Center · Madison, MS
NPI number
1467016931
Active
Practice location
159 Fountains Blvd Ste D
Madison, MS 39110-6344
Fax (601) 859-8201
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Infusion Therapy Clinic/Center Primary | 261QI0500X | None listed |
Infusion Therapy Clinic/Center: Definition to come...
About NPI 1467016931
Fountains Infusion Center LLC's National Provider Identifier is 1467016931, issued on Apr 30, 2019. The primary taxonomy on file is Infusion Therapy Clinic/Center (261QI0500X), and the practice location is in Madison, MS. The record was last updated on Apr 30, 2019.