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Contact Information

THE BREAST CARE TEAM , PC
130 RIVERSTONE TER
SUITE 101
CANTON, GA30114-1702
 Phone: 770-704-6977
 Fax: 770-704-6169
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical Oncology

2086X0206X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for THE BREAST CARE TEAM PC · (Female)

NPI # 1942498050
Status Active
Credentials
Entity Individual
Enumeration date 10/15/2007
Last updated 12/19/2007 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers
  • GA License # 053464
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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