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ADVANCED BREAST CARE PC NPI 1811011695


NPI Information

NPI: 1811011695
Provider Name: ADVANCED BREAST CARE PC
Classification: Surgery - 2086X0206X
Entity Type: Organization

Specialization: Surgical Oncology

Address:
790 CHURCH ST NE
SUITE 410
MARIETTA, GA
ZIP 30060
Phone: (770) 422-1988
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ADVANCED BREAST CARE PC is a surgical oncology surgery in Marietta, GA. The provider is a surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research. ADVANCED BREAST CARE PC NPI is 1811011695. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

790 CHURCH ST NE
SUITE 410
MARIETTA, GA
ZIP 30060-282
Phone: (770) 422-1988
Fax: (770) 874-0226

The provider's authorized official is Richard Ellis Fine .
The authorized official title is Director and has the following contact phone number (770) 422-1988.

The enumeration date for this NPI number is 3/19/2007 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
12086X0206XSurgerySurgical OncologyYes

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: 4/28/2024

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