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Contact Information

GEORGIA CANCER SPEC LAB LLC
1364 WELLBROOK CIR NE
CONYERS, GA30012-3872
 Phone: 404-943-0205
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical Oncology

207RX0202X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for GEORGIA CANCER SPEC LAB LLC · (Female)

NPI Number 1184754871
Status Active
Credentials
Entity Individual
Enumeration date 03/06/2007
Last updated 08/22/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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