Northwest Georgia Oncology Centers, PC

NPI #1801924857 in Jasper, Georgia

Provider Information

NPI Number: 1801924857
Entity Type: Organization
Organization Name: Northwest Georgia Oncology Centers, PC
Primary Specialty: Durable Medical Equipment & Medical Supplies
Enumeration Date: Mar 1, 2007
Last Updated: Dec 9, 2010

Practice Location

Address: 620 J L WHITE DR
Address 2: STE 100
City: Jasper
State: Georgia
ZIP Code: 30143-4896
Phone: (706) 682-9016

Authorized Official

Name: DR. BRUCE J GOULD, MD
Title: MD PHYSICIAN
Phone: (770) 281-5100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Durable Medical Equipment & Medical Supplies	332B00000X	Primary

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