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NORTHEAST GEORGIA CANCER SPECIALIST PC NPI 1255312807


NPI Information

NPI: 1255312807
Provider Name: NORTHEAST GEORGIA CANCER SPECIALIST, PC
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
NORTHEAST GEORGIA MEDICAL CENTER
743 SPRING STREET
GAINESVILLE, GA
ZIP 30501
Phone: (770) 535-3393
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NORTHEAST GEORGIA CANCER SPECIALIST, PC is a specialist in Gainesville, GA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. NORTHEAST GEORGIA CANCER SPECIALIST, PC NPI is 1255312807. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

NORTHEAST GEORGIA MEDICAL CENTER
743 SPRING STREET
GAINESVILLE, GA
ZIP 30501
Phone: (770) 535-3393
Fax: (770) 503-0579

The provider's authorized official is Frank G Lake .
The authorized official title is President and has the following contact phone number (770) 535-3393.

The enumeration date for this NPI number is 11/10/2005 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialistYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.