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Contact Information

ADVANCED BREAST CARE PC
790 CHURCH ST NE
SUITE 410
MARIETTA, GA30060-7282
 Phone: 770-422-1988
 Fax: 770-874-0226
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical Oncology

2086X0206X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for ADVANCED BREAST CARE PC

NPI # 1811011695
LBN Legal business name ADVANCED BREAST CARE PC
Authorized official RICHARD FINE - (DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 03/19/2007
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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