| NPI | 1376682849 |
|---|---|
| Former Legal Business Name | NORTHEAST GEORGIA CANCER CARE, LLC |
| Entity Type | Organization |
| Authorized Contact | SARA HALL Director Of Pharmacy 706-543-4344 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2023-08-08 |