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11D0978917 CLIA NUMBER - WELLSTAR COBB NORTHWEST GEORGIA ONLCOLOGY

Laboratory Demographics

CLIA Number: 11D0978917

Facility Name: WELLSTAR COBB NORTHWEST GEORGIA ONLCOLOGY

Facility Address:
6002 PROFESSIONAL PARKWAY SUITE 220 ATTN TONI DUKES - NGO LAB MANAGER
DOUGLASVILLE, GA
ZIP 30134
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Facility Phone Number: 470 267-1493

Facility Type: Other - HOSPITAL O/P DEPT

Certificate Type: Accreditation
NPI Number: 1992751564

Taxonomy: 207R00000X - Internal Medicine
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

CLIA Record

Field Name Field Value
CLIA Number 11D0978917
LAB Type Other - HOSPITAL O/P DEPT
Facility Name WELLSTAR COBB NORTHWEST GEORGIA ONLCOLOGY
Street 6002 PROFESSIONAL PARKWAY SUITE 220 ATTN TONI DUKES - NGO LAB MANAGER
City DOUGLASVILLE
State GA
ZIP 30134
Phone 470 267-1493
CertificateType 1
CertificateEffectiveDate 8/11/2023
CertificateExpirationDate 8/10/2025
FacilityType Accreditation

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This page was last updated on: 4/23/2024