Georgia Cancer Specialists I PC
Internal Medicine, Hematology & Oncology in Lithonia, GA. Organization (NPI-2).
NPI number1932115243
StatusActive
Last updated in NPPESMar 2, 2010
Details
- NPI
- 1932115243
- Entity type
- Organization (NPI-2)
- Legal business name
- Georgia Cancer Specialists I PC
- Organization subpart
- No
- Enumeration date
- Jul 31, 2006
- Last updated
- Mar 2, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RH0003X | Internal Medicine, Hematology & Oncology | – | GA | Yes |
Practice location
2745 Dekalb Medical PkwySuite 110
Lithonia, GA 30058-4932
Phone 770-981-5431 · Fax 770-981-5515
Mailing address
1835 Savoy DrSuite 300
Atlanta, GA 30341-1072
Phone 770-495-3396 · Fax 770-495-2307
Authorized official
Wendy Hawke Lenz
C.O.O.
7706218656
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