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GWINNETT HOSPITAL SYSTEM TCCC LLC NPI 1972065852


NPI Information

NPI: 1972065852
Provider Name: GWINNETT HOSPITAL SYSTEM TCCC LLC
Classification: Internal Medicine - 207RX0202X
Entity Type: Organization

Specialization: Medical Oncology

Address:
631 PROFESSIONAL DR STE 450
LAWRENCEVILLE, GA
ZIP 30046
Phone: (770) 963-8030
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GWINNETT HOSPITAL SYSTEM TCCC LLC is a medical oncology internal medicine in Lawrenceville, 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. GWINNETT HOSPITAL SYSTEM TCCC LLC NPI is 1972065852. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

631 PROFESSIONAL DR STE 450
LAWRENCEVILLE, GA
ZIP 30046-370
Phone: (770) 963-8030

The provider's authorized official is Thomas Y Mcbride .
The authorized official title is Executive Vice President/cfo and has the following contact phone number (678) 312-4308.

The enumeration date for this NPI number is 4/1/2019 and was last updated on 4/1/2019.


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
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: 4/28/2024

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