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NPI Code Detail

MEDICARE: DR. HEATHER GRACE GATCOMBE M.D.

MEDICARE:  DR. HEATHER GRACE GATCOMBE  M.D.
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
12085R0001XRadiation Oncology Physician63659GA

General Provider Information

NPI Number : 1457538944
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. HEATHER GRACE GATCOMBE M.D.
Provider Business Mailing Address
First Line : 2511 MCKINNON DR
Second Line :
City : DECATUR
State : GA
Zip : 30030-4538
Country : US
Telephone Number : 404-422-8824
Fax Number :
Provider Business Practice Location Address
First Line : 1800 HOSPITAL SOUTH DR
Second Line :
City : AUSTELL
State : GA
Zip : 30106-8114
Country : US
Telephone Number : 770-948-6000
Fax Number : 770-948-2638
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/28/2008
Last Update Date : 02/03/2020

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Directions to “ DR. HEATHER GRACE GATCOMBE M.D.” Practice Location

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