Healthcare Provider Details

I. General information

NPI: 1679761282
Provider Name (Legal Business Name): NORTH GEORGIA CANCER CARE PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/09/2007
Last Update Date: 08/07/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 WILLOWBROOK WAY SE
CALHOUN GA
30701-1404
US

IV. Provider business mailing address

PO BOX 36
CALHOUN GA
30703-0036
US

V. Phone/Fax

Practice location:
  • Phone: 706-625-4285
  • Fax: 706-625-3905
Mailing address:
  • Phone: 706-625-4285
  • Fax: 706-625-3905

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QX0200X
TaxonomyOncology Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: JAMES ERIC TURNER
Title or Position: CEO
Credential: M.D.
Phone: 706-625-4285