2406 Cancer Care Llc

LBN: 2406 Cancer Care Llc
2406 Cancer Care Llc is an health care organization with primary practice located at 1770 Watson Blvd Ste A , Warner Robins GA 31093-3632. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as the primary health care specialty. 2406 Cancer Care Llc can be contacted via phone (478) 333-6961, or through Randolph, Erich Graham via phone (404) 234-6473.

Contact Information

Primary practice address
1770 Watson Blvd Ste A Warner Robins GA 31093-3632
Phone: (478) 333-6961
Fax: (478) 333-6964
Website:
Map and Directions
Authorized official contact:
Name: Randolph, Erich Graham Doctor of Medicine (MD)
Phone: (404) 234-6473

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X

Profile Details

NPI number 1215703046
LBN Legal business name 2406 Cancer Care Llc
DBA Doing business as
Authorized official Randolph, Erich Graham Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 4th, 2023
Last updated Dec 4th, 2023 - about last year

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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