Georgia Cancer Specialists I PC
Internal Medicine, Hematology & Oncology in Hiram, GA. Organization (NPI-2).
NPI number1407035652
StatusActive
Last updated in NPPESMar 12, 2008
Details
- NPI
- 1407035652
- Entity type
- Organization (NPI-2)
- Legal business name
- Georgia Cancer Specialists I PC
- Organization subpart
- No
- Enumeration date
- Oct 24, 2007
- Last updated
- Mar 12, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RH0003X | Internal Medicine, Hematology & Oncology | – | – | Yes |
Practice location
148 Bill Carruth ParkwaySuite 300
Hiram, GA 30141
Phone 770-443-6019 · Fax 770-443-6532
Mailing address
1835 Savoy DrSuite 300
Atlanta, GA 30341-1072
Phone 770-496-9400 · Fax 770-496-9495
Authorized official
Wendy Hawke Lenz
Coo
7704965555
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