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GEORGIA CANCER SPEC LAB LLC NPI 1184754871


NPI Information

NPI: 1184754871
Provider Name: GEORGIA CANCER SPEC LAB LLC
Classification: Internal Medicine - 207RX0202X
Entity Type: Organization

Specialization: Medical Oncology

Address:
1364 WELLBROOK CIR NE
CONYERS, GA
ZIP 30012
Phone: (404) 943-0205
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GEORGIA CANCER SPEC LAB LLC is a medical oncology internal medicine in Conyers, GA. The provider is an internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer. GEORGIA CANCER SPEC LAB LLC NPI is 1184754871. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1364 WELLBROOK CIR NE
CONYERS, GA
ZIP 30012-872
Phone: (404) 943-0205

The provider's authorized official is Alicia Holden .
The authorized official title is Lead and has the following contact phone number (404) 943-0205.

The enumeration date for this NPI number is 3/6/2007 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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RX0202XInternal MedicineMedical 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: 5/5/2024

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