Cancer Care Specialists, P.C.
Specialist in Decatur, GA. Organization (NPI-2).
NPI number1457573073
StatusActive
Last updated in NPPESNov 16, 2007
Details
- NPI
- 1457573073
- Entity type
- Organization (NPI-2)
- Legal business name
- Cancer Care Specialists, P.C.
- Organization subpart
- No
- Enumeration date
- May 3, 2007
- Last updated
- Nov 16, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | 048205 | GA | Yes |
Practice location
2675 N Decatur RdSuite G03
Decatur, GA 30033
Phone 404-501-6925 · Fax 404-501-6930
Mailing address
Po Box 98446Atlanta, GA 30359
Phone 404-423-8881 · Fax 404-321-0223
Authorized official
Tosha Balfour
Owner Physician
4045016925
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