Angus Lake Infusion Services
Angus Lake Infusion Services is a Durable Medical Equipment & Medical Supplies in Gordon, Georgia. Licensed in Georgia. Registered with an NPI since 2013.
- Licensed in
- GA
- In the registry since
- 2013
- Specialties on file
- 4
Practice location Address checks out
240 Milledgeville Rd Ste BGordon, GA 31031-3827
Phone: (478) 387-2399
Fax: (478) 628-2263
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Durable Medical Equipment & Medical Supplies (primary) | Taxonomy 332B00000X · Licence PHHH000055 (GA) |
|---|---|
| Parenteral & Enteral Nutrition Supplies (DME) | Taxonomy 332BP3500X · Licence PHHH000055 (GA) |
| Compounding Pharmacy | Taxonomy 3336C0004X · Licence PHHH000055 (GA) |
| Home Infusion Therapy Pharmacy | Taxonomy 3336H0001X · Licence PHHH000055 (GA) |
Record details
| NPI number | 1063855211 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Carl Stanley — Member · (478) 387-2399 |
| Other names | Angus Lake Vital Care |
| NPI enumerated | April 8, 2013 |
| Last updated in NPPES | October 18, 2013 |
| Mailing address | Po Box 249, Gordon, GA 31031-0249 |
Other providers in Gordon
-
Angus Lake Healthcare, LLC
242 Milledgeville Hwy, Gordon, GA 31031-3827 · (229) 520-5151
-
Gordon Drugs, Inc
240 Milledgeville Rd, Gordon, GA 31031 · (478) 628-2425
-
Pamela Reaves
322 Milledgeville Hwy, Gordon, GA 31031-4177 · (478) 628-4054