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NPI Code Detail

MEDICARE: NORTH GEORGIA RADIATION PARTNERS, LP

MEDICARE: NORTH GEORGIA RADIATION PARTNERS, LP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1174400000XSpecialist

General Provider Information

NPI Number : 1376597864
Entity Type Code : Organization
Provider Name (Legal Business Name) : NORTH GEORGIA RADIATION PARTNERS, LP
Provider Business Mailing Address
First Line : 3330 PRESTON RIDGE RD
Second Line : SUITE 300
City : ALPHARETTA
State : GA
Zip : 30005-4508
Country : US
Telephone Number : 770-350-0126
Fax Number : 770-350-6637
Provider Business Practice Location Address
First Line : 308 DEEP SOUTH FARM RD
Second Line : SUITE 100
City : BLAIRSVILLE
State : GA
Zip : 30512-2218
Country : US
Telephone Number : 706-835-3030
Fax Number : 706-835-3028
Authorized Official
Title or Position : CEO
Name : DALE LYNN MCCORD
Credential : MD
Telephone Number : 770-350-0126
Provider Enumeration Date : 05/20/2006
Last Update Date : 08/28/2014

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Directions to “NORTH GEORGIA RADIATION PARTNERS, LP ” Practice Location

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