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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

NPI Number 1184754871
LBN Legal business name GEORGIA CANCER SPEC LAB LLC
Authorized official ALICIA HOLDEN - (LEAD)
Entity Organization
Organization subpart 1 No
Enumeration date 03/06/2007
Last updated 08/22/2020 - About 6 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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