Northwest Georgia Oncology Centers, PC
Durable Medical Equipment & Medical Supplies in Marietta, GA. Organization (NPI-2).
NPI number1700914751
StatusActive
Last updated in NPPESDec 4, 2012
Details
- NPI
- 1700914751
- Entity type
- Organization (NPI-2)
- Legal business name
- Northwest Georgia Oncology Centers, PC
- Organization subpart
- No
- Enumeration date
- Mar 1, 2007
- Last updated
- Dec 4, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | 0741780001 | GA | Yes |
Practice location
340 Kennestone Hospital BlvdSte 200
Marietta, GA 30060-1152
Phone 770-281-5100 · Fax 678-581-7100
Mailing address
1700 Hospital South DrSuite 300
Austell, GA 30106-6810
Phone 770-944-2830 · Fax 678-581-7170
Authorized official
Bruce J Gould
MD Physician
7702815100
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