International Cancer Foundation

NPI #1174690721 in Rossville, Georgia

Provider Information

NPI Number: 1174690721
Entity Type: Organization
Organization Name: International Cancer Foundation
Primary Specialty: Family Medicine
Enumeration Date: Nov 29, 2006
Last Updated: Jul 23, 2008

Practice Location

Address: 1989 N HIGHWAY 341
City: Rossville
State: Georgia
ZIP Code: 30741-6204
Phone: (423) 593-7525

Authorized Official

Name: DR. BENNIE JOHNSON, MD
Title: CEO
Phone: (423) 593-7525

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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