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Georgia Cancer Specialists I PC

Internal Medicine, Hematology & Oncology in Stockbridge, GA. Organization (NPI-2).

NPI number1790790459
StatusActive
Last updated in NPPESFeb 20, 2008

Details

NPI
1790790459
Entity type
Organization (NPI-2)
Legal business name
Georgia Cancer Specialists I PC
Organization subpart
No
Enumeration date
Jul 30, 2006
Last updated
Feb 20, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207RH0003X Internal Medicine, Hematology & Oncology–GAYes

Practice location

1045 Southcrest Drive
Suite 200
Stockbridge, GA 30281-6113

Phone 678-289-0549 · Fax 678-289-8756

Mailing address

1835 Savoy Dr
Suite 300
Atlanta, GA 30341-1072

Phone 770-495-3396 · Fax 770-496-2307

Authorized official

Wendy Hawke
C.O.O.
7706218656

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