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BREAST CARE SPECIALISTS NPI 1265412142


NPI Information

NPI: 1265412142
Provider Name: BREAST CARE SPECIALISTS
Classification: Surgery - 208600000X
Entity Type: Organization

CLIA Number: 11D2003628

Address:
975 JOHNSON FERRY RD NE
SUITE 100
ATLANTA, GA
ZIP 30342
Phone: (404) 255-8086
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BREAST CARE SPECIALISTS is a surgery in Atlanta, GA. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. BREAST CARE SPECIALISTS NPI is 1265412142. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

975 JOHNSON FERRY RD NE
SUITE 100
ATLANTA, GA
ZIP 30342-619
Phone: (404) 255-8086
Fax: (404) 531-4962

The provider's authorized official is Eric Bossak .
The authorized official title is Administrator and has the following contact phone number (404) 255-8086.

The CLIA number assigned to this NPI record is 11D2003628 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/18/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208600000XSurgeryYes
22085R0202XRadiologyDiagnostic RadiologyX

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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