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1255312807
NORTHEAST GEORGIA CANCER SPECIALIST, PC
GAINESVILLE, GA
NPI
1255312807
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Entity Type
Organization
Authorized Contact
FRANK G LAKE
President
770-535-3393
Organization Subpart ?
No
Primary Taxonomy
174400000X Specialist
Enumeration Date
2005-11-10
Last Update Date
2020-08-22
Business Address
NORTHEAST GEORGIA CANCER SPECIALIST, PC
NORTHEAST GEORGIA MEDICAL CENTER 743 SPRING STREET
GAINESVILLE, GA 30501
Phone number: 770-535-3393
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Mailing Address
NORTHEAST GEORGIA CANCER SPECIALIST, PC
PO BOX 2418
GAINESVILLE, GA 30503-2418
Phone number: 770-693-6022
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