Organization · Type 2 NPI

Georgia Cancer Specialists I PC

Hematology & Oncology Physician · Stockbridge, GA

NPI number 1790790459 Active

Practice location

1045 Southcrest Drive, Suite 200
Stockbridge, GA 30281-6113

Fax (678) 289-8756

Mailing address

1835 Savoy Dr, Suite 300
Atlanta, GA 30341-1072

Specialties and licenses

TaxonomyCodeLicense
Hematology & Oncology Physician Primary 207RH0003XNone listed

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 1790790459

Georgia Cancer Specialists I PC's National Provider Identifier is 1790790459, issued on Jul 30, 2006. The primary taxonomy on file is Hematology & Oncology Physician (207RH0003X), and the practice location is in Stockbridge, GA. The record was last updated on Feb 20, 2008.