North Georgia Radiation

NPI #1609041102 in Cumming, Georgia

Provider Information

NPI Number: 1609041102
Entity Type: Organization
Organization Name: North Georgia Radiation
Subpart: Yes (part of a larger organization)
Parent Organization: RADIOTHERAPY CLINICS OF GEORGIA,LLC
Primary Specialty: Specialist
Enumeration Date: Apr 25, 2008
Last Updated: Apr 25, 2008

Practice Location

Address: 1055 HAW CREEK PKWY
City: Cumming
State: Georgia
ZIP Code: 30041-6564
Phone: (678) 947-0457

Authorized Official

Name: TAMMIE LAVISCOUNT
Title: CONTRACT ANALYST
Phone: (770) 682-2080

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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