Organization · Type 2 NPI

Kaiser Foundation Health Plan of Georgia, Inc.

Home Infusion Agency · Duluth, GA

NPI number 1871245506 Active

Practice location

3650 Steve Reynolds Blvd Rm 35
Duluth, GA 30096-4506

Call (770) 931-6361 Map

Fax (770) 931-6360

Mailing address

3495 Piedmont Rd NE
Atlanta, GA 30305-1717

Specialties and licenses

Taxonomy	Code	License
Home Infusion Agency Primary	251F00000X	None listed

Home Infusion Agency: Definition to come...

NPI record

NPI: 1871245506
Entity type: Organization (Type 2)
Issued: Jan 24, 2022
Last updated: Jan 24, 2022
Status: Active
Subpart: Yes of Kaiser Foundation Health Plan of Georgia, Inc.

Other names

Kaiser Permanente Gwinnett Home Infusion Retail Pharmacy · doing business as

Authorized official

Ms. Diane Sanders
Pharmacy Compliance Manager
(770) 712-5654

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1871245506

Kaiser Foundation Health Plan of Georgia, Inc.'s National Provider Identifier is 1871245506, issued on Jan 24, 2022. The primary taxonomy on file is Home Infusion Agency (251F00000X), and the practice location is in Duluth, GA. The record was last updated on Jan 24, 2022.