| The Iv Spot, Llc. | |
|
2799 Lawrenceville Hwy Ste 107 Decatur GA 30033-2517 | |
| (678) 739-1879 | |
| Not Available |
| Full Name | The Iv Spot, Llc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 2799 Lawrenceville Hwy Ste 107, Decatur, Georgia |
| Authorized Official Name and Position | Martha Michelle Moore (CEO) |
| Authorized Official Contact | 6787391879 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Iv Spot, Llc. 1890 Paxton Dr Sw Lilburn GA 30047-3384 Ph: (678) 739-1879 | The Iv Spot, Llc. 2799 Lawrenceville Hwy Ste 107 Decatur GA 30033-2517 Ph: (678) 739-1879 |
| NPI Number | 1619575834 |
|---|---|
| Provider Enumeration Date | 10/09/2020 |
| Last Update Date | 12/09/2021 |
| Certification Date | 12/09/2021 |
| Medicare PECOS PAC ID | 5395134712 |
|---|---|
| Medicare Enrollment ID | O20211105000413 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619575834 | NPI | - | NPPES |
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