Georgia Cancer Treatment And Hematology Center

LBN: Georgia Cancer Treatment And Hematology Center
Georgia Cancer Treatment And Hematology Center is an health care organization with primary practice located at 1279 Hwy 54 W Suite 210, Fayetteville GA 30215. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as the primary health care specialty. Georgia Cancer Treatment And Hematology Center can be contacted via phone (770) 719-1299, or through Goldklang, Gerald Alan via phone (770) 719-1299.

Contact Information

Primary practice address
1279 Hwy 54 W Suite 210 Fayetteville GA 30215
Fax: (770) 719-9244
Website:
Authorized official contact:
Name: Goldklang, Gerald Alan Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 020714 Georgia

Profile Details

NPI number 1811977648
LBN Legal business name Georgia Cancer Treatment And Hematology Center
DBA Doing business as
Authorized official Goldklang, Gerald Alan Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 18th, 2006
Last updated Mar 7th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1811977648 NPPES
Georgia MEDICAID 00188801C

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