THE BREAST CARE TEAM PC NPI 1942498050

NPI Information

  • NPI: 1942498050
  • Provider Name: THE BREAST CARE TEAM , PC
  • Classification: Surgery - 2086X0206X
  • Specialization: Surgical Oncology
  • Entity Type: Organization
  • Address: 130 RIVERSTONE TER
    SUITE 101
    CANTON, GA
    ZIP 30114
  • Phone: (770) 704-6977

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NPI Details

THE BREAST CARE TEAM , PC is a surgical oncology surgery in Canton, 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. THE BREAST CARE TEAM , PC NPI is 1942498050. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

130 RIVERSTONE TER
SUITE 101
CANTON, GA
ZIP 30114-702
Phone: (770) 704-6977
Fax: (770) 704-6169

The provider's authorized official is Anita T Johnson .
The authorized official title is Physician/owner and has the following contact phone number (770) 704-6977.

The enumeration date for this NPI number is 10/15/2007 and was last updated on 12/19/2007.

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
12086X0206XSurgerySurgical Oncology053464GEORGIAYes

What is NPI?

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This page was last updated on: 11/21/2025

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