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General NPI Number Information
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NPI Number | 1376503128
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Entity Type | Individual
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Provider Name | SANDRA LYNN GREGORY MD
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Gender | Female
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Dates
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Enumeration Date | 03/24/2006
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Last Update Date | 07/18/2025
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Provider Practice Location Address
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Address Line | 3330 PRESTON RIDGE RD STE 100
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City | ALPHARETTA
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State | GA
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Zip | 30005-4509
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Country | US
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Telephone | 770-255-7500
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Fax | 770-255-7501
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Provider Business Mailing Address
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Address Line | 3330 PRESTON RIDGE RD SUITE 300
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City | ALPHARETTA
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State | GA
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Zip | 30005-4508
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Country | US
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Telephone | 770-350-0126
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Fax | 770-350-6637
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | 13630-320
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | 057368
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License Number State | GA
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