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 340 Kennestone Hospital Blvd Suite 200, Marietta GA 30060-1121. The organization recently has 4 registered licenses in different health care specialties including Other Service Providers / Specialist, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Specialty Pharmacy. Other Service Providers / Specialist is the primary health care specialty.
Northwest Georgia Oncology Centers, Pc can be contacted via phone (770) 281-5100, or through Gould, Bruce J via phone (770) 281-5100.
Contact Information
Primary practice address
340 Kennestone Hospital Blvd Suite 200
Marietta GA 30060-1121
Phone: (770) 281-5100
Fax: (678) 581-7100
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 032740 | Georgia |
| Suppliers / Pharmacy | 333600000X | Georgia | |
| Suppliers / Community/Retail Pharmacy | 3336C0003X | Georgia | |
| Suppliers / Specialty Pharmacy | 3336S0011X | Georgia |
Profile Details
| NPI number | 1750376695 |
|---|---|
| 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 | Sep 16th, 2005 |
| Last updated | Jun 1st, 2011 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1750376695 | NPPES |
| Georgia | MEDICAID | 300028463A | |
| Georgia | Other | GRP245 |
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