South Oncology Institute, Corp.
Family Medicine in Atlanta, GA. Organization (NPI-2).
NPI number1760632608
StatusActive
Last updated in NPPESSep 29, 2008
Details
- NPI
- 1760632608
- Entity type
- Organization (NPI-2)
- Legal business name
- South Oncology Institute, Corp.
- Organization subpart
- No
- Enumeration date
- Sep 29, 2008
- Last updated
- Sep 29, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
Practice location
3522 Ashford Dunwoody Rd# 407
Atlanta, GA 30319
Phone 956-369-6343
Mailing address
3522 Ashford Dunwoody Rd# 407
Atlanta, GA 30319
Phone 956-369-6343
Authorized official
Juan Navarro
President
9563696343
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