The Breast Care Team , PC

NPI #1942498050 in Canton, Georgia

Provider Information

NPI Number: 1942498050
Entity Type: Organization
Organization Name: The Breast Care Team , PC
Primary Specialty: Surgery - Surgical Oncology
Enumeration Date: Oct 15, 2007
Last Updated: Dec 19, 2007

Practice Location

Address: 130 RIVERSTONE TER
Address 2: SUITE 101
City: Canton
State: Georgia
ZIP Code: 30114-1702
Phone: (770) 704-6977

Authorized Official

Name: DR. ANITA T JOHNSON
Title: PHYSICIAN/OWNER
Phone: (770) 704-6977

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery - Surgical Oncology — Surgical Oncology	2086X0206X	Primary

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