Provider Demographics
NPI:1598040560
Name:C2 MEDICAL SOLUTIONS LLC
Entity type:Organization
Organization Name:C2 MEDICAL SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/PIC
Authorized Official - Prefix:DR
Authorized Official - First Name:CHANDLER
Authorized Official - Middle Name:MARSHALL
Authorized Official - Last Name:CONNER
Authorized Official - Suffix:
Authorized Official - Credentials:PHARM D
Authorized Official - Phone:706-521-0272
Mailing Address - Street 1:100 HAWTHORNE LN
Mailing Address - Street 2:SUITE A
Mailing Address - City:ATHENS
Mailing Address - State:GA
Mailing Address - Zip Code:30606-2171
Mailing Address - Country:US
Mailing Address - Phone:706-521-0272
Mailing Address - Fax:706-353-8134
Practice Address - Street 1:100 HAWTHORNE LN
Practice Address - Street 2:SUITE A
Practice Address - City:ATHENS
Practice Address - State:GA
Practice Address - Zip Code:30606-2171
Practice Address - Country:US
Practice Address - Phone:706-521-0272
Practice Address - Fax:706-353-8134
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-20
Last Update Date:2015-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPHRE009782332B00000X, 3336S0011X, 3336H0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336H0001XSuppliersPharmacyHome Infusion Therapy Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No3336S0011XSuppliersPharmacySpecialty Pharmacy