Northwest Georgia Oncology Centers, Pc

LBN: Northwest Georgia Oncology Centers, Pc
Northwest Georgia Oncology Centers, Pc is an health care organization with primary practice located at 705 Dallas Hwy Ste 205, Villa Rica GA 30180-1247. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. Northwest Georgia Oncology Centers, Pc can be contacted via phone (770) 771-5935, or through Gould, Bruce J via phone (770) 281-5100.

Contact Information

Primary practice address
705 Dallas Hwy Ste 205 Villa Rica GA 30180-1247
Phone: (770) 771-5935
Fax: (770) 456-3407
Website:
Map and Directions
Authorized official contact:
Name: Gould, Bruce J Doctor of Medicine (MD)
Phone: (770) 281-5100

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 074178000 Georgia

Profile Details

NPI number 1619005667
LBN Legal business name Northwest Georgia Oncology Centers, Pc
DBA Doing business as
Authorized official Gould, Bruce J Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 1st, 2007
Last updated Dec 9th, 2010 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619005667 NPPES
Georgia Other 169005667 SUPPLIER NUMBER (VILLA RICA)

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