Individual provider · Type 1 NPI

Bradley J. G. Larson, MD

Hematology & Oncology Physician · Carrollton, GA

NPI number 1194729582 Active

Practice location

157 Clinic Ave, Ste 101
Carrollton, GA 30117-4413

Call (770) 333-2220 Map

Fax (678) 581-7180

Mailing address

531 Roselane St NW Ste 710
Marietta, GA 30060-6975

Specialties and licenses

TaxonomyCodeLicense
Hematology & Oncology Physician Primary 207RH0003X054449 (GA)

Hematology & Oncology Physician: An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

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About NPI 1194729582

Bradley J. G. Larson, MD's National Provider Identifier is 1194729582, issued on Jun 13, 2005. The primary taxonomy on file is Hematology & Oncology Physician (207RH0003X), and the practice location is in Carrollton, GA. The record was last updated on Dec 13, 2017.