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 157 Clinic Ave Ste 101, Carrollton GA 30117-4454. 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) 333-2220, or through Gould, Bruce J via phone (770) 281-5100.

Contact Information

Primary practice address
157 Clinic Ave Ste 101 Carrollton GA 30117-4454
Fax: (678) 581-7180
Website:
Authorized official contact:
Name: Gould, Bruce J Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 0741780006 Georgia

Profile Details

NPI number 1124156310
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 1st, 2010 - about 14 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 1124156310 NPPES
Georgia Other 1124156310 SUPPLIER NPI NUMBER (CARROLLTON)

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