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Contact Information

NORTH GEORGIA RADIATION THERAPY
320 KENNESTONE HOSP. BLVD LL1
MARIETTA, GA30060
 Phone: 770-331-2706
 Fax: 678-721-5556
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for NORTH GEORGIA RADIATION THERAPY · (Female)

NPI # 1538183280
Status Active
Credentials
Entity Individual
Enumeration date 07/26/2006
Last updated 09/10/2012 - About 14 years ago
Sole proprietor 1 Not specified
Identifiers
  • GA License # 020723
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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