=====================================================
General NPI Number Information
=====================================================
NPI Number | 1790723344
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ATLANTA HEMATOLOGY & ONCOLOGY ASSOCIATES, P.C.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/04/2006
-----------------------------------------------------
Last Update Date | 08/22/2020
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 105 COLLIER RD NW SUITE 3040
-----------------------------------------------------
City | ATLANTA
-----------------------------------------------------
State | GA
-----------------------------------------------------
Zip | 30309-1710
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 404-355-9243
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 105 COLLIER RD NW SUITE 3040
-----------------------------------------------------
City | ATLANTA
-----------------------------------------------------
State | GA
-----------------------------------------------------
Zip | 30309-1710
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 404-355-9243
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | DR. DONALD J FILIP
-----------------------------------------------------
Credential | M.D..
-----------------------------------------------------
Telephone | 404-355-9243
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207RH0003X
-----------------------------------------------------
Taxonomy Name | Hematology & Oncology Physician
-----------------------------------------------------
License Number | 16066
-----------------------------------------------------
License Number State | GA
-----------------------------------------------------