Organization · Type 2 NPI

Georgia Cancer Treatment and Hematology Center

Hematology & Oncology Physician · Fayetteville, GA

NPI number 1811977648 Active

Practice location

1279 Hwy 54 W, Suite 210
Fayetteville, GA 30215

Fax (770) 719-9244

Mailing address

483 Upper Riverdale Rd, Ste E
Riverdale, GA 30274

Specialties and licenses

TaxonomyCodeLicense
Hematology & Oncology Physician Primary 207RH0003X020714 (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 1811977648

Georgia Cancer Treatment and Hematology Center's National Provider Identifier is 1811977648, issued on Jan 18, 2006. The primary taxonomy on file is Hematology & Oncology Physician (207RH0003X), and the practice location is in Fayetteville, GA. The record was last updated on Mar 7, 2023.