GEORGIA CANCER SPECIALISTS I PC (NPI# 1366457228) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1366457228 |
Entity Type | Organization |
Organization Name | GEORGIA CANCER SPECIALISTS I PC |
Practice Address |
228 Riverstone Drive Canton GA 30114 |
Mailing Address |
1835 Savoy Dr Suite 300 Atlanta GA 30341-1072 |
Practice Telephone | 7704791879 |
Practice Fax Number | 7704799705 |
Mailing Telephone | 7704953396 |
Mailing Fax Number | 7704952307 |
Enumeration Date | 2006-07-29 |
Last Update Date | 2008-02-20 |
Authorized Official Name | DR. WENDY HAWKE (C.O.O.) |
Authorized Official Telephone | 7706218656 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
GA | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396953386 | Georgia Cancer Specialists I PC | Internal Medicine | 4750 Battlefield Parkway, Ringgold, GA 30736-5164 | 2007-05-21 |
1811075252 | Georgia Cancer Specialists I PC | Internal Medicine | 246 Odell Road, Suite 4, Griffin, GA 30224-4880 | 2006-11-02 |
1447266713 | Georgia Cancer Specialists I PC | Internal Medicine | 97 Hefner Street, East Ellijay, GA 30540-8268 | 2006-07-31 |
1942215603 | Georgia Cancer Specialists I PC | Internal Medicine | 1800 Tree Lane, Suite 180, Snellville, GA 30078-2016 | 2006-07-30 |
1871508523 | Georgia Cancer Specialists I PC | Internal Medicine | 214 Perry Highway, Hawkinsville, GA 31036-1038 | 2006-07-30 |
1215942941 | Georgia Cancer Specialists I PC | Internal Medicine | 1501 Milstead Rd Ne, Suite 110, Conyers, GA 30012-3835 | 2006-07-30 |
1790790459 | Georgia Cancer Specialists I PC | Internal Medicine | 1045 Southcrest Drive, Suite 200, Stockbridge, GA 30281-6113 | 2006-07-30 |
1417962135 | Georgia Cancer Specialists I PC | Internal Medicine | 3330 Preston Ridge Rd., Suite 110, Alpharetta, GA 30005-3707 | 2006-07-30 |
1134134935 | Georgia Cancer Specialists I PC | Internal Medicine | 624 W Martin Luther King Jr Drive, Milledgeville, GA 31061-2787 | 2006-07-30 |
1336375344 | Georgia Cancer Specialists I PC | Internal Medicine | 20 Francis Way, Suite 130, Sharpsburg, GA 30277-3589 | 2009-06-04 |
Street Address |
228 RIVERSTONE DRIVE |
City | CANTON |
State | GA |
Zip Code | 30114 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619516093 | Wickshire Canton Opco LLC | Assisted Living Facility | 125 Riverstone Terrace, Canton, GA 30114 | 2020-01-02 |
1154803583 | Alixandra Nicole Flournoy | Physical Therapist | 131 Holly Street, Canton, GA 30114 | 2018-09-01 |
1588157341 | Provident Group - Canton Cove Properties LLC | Alzheimer Center (Dementia Center) | 1100 Reinhardt College Parkway, Canton, GA 30114 | 2018-06-07 |
1003233107 | Heartland Dental Care of Georgia | Dentist | 3237 Sixes Rd, Canton, GA 30114 | 2014-03-26 |
1730510959 | Joseph Optical | Eyewear Supplier (Equipment, not the service) | 1455 Riverstone Pkwy Suite 110, Canton, GA 30114 | 2013-12-13 |
1629313036 | Ramona Morton Rasmussen | Occupational Therapist | 200 Riverstone Drive, Suite B, Canton, GA 30114 | 2012-12-11 |
1902154875 | Yong Qiao Luo | Acupuncturist | 200 Oakside Lane, Suite D, Canton, GA 30114 | 2012-08-26 |
1215294350 | Christina Lynn Hernandez | Pediatrics | 1558 Riverstone Pkwy Ste 100, Canton, GA 30114 | 2012-04-13 |
1558638981 | Stephen E Byrd | Counselor | 191 Lamar Haley Pkwy., Canton, GA 30114 | 2011-11-30 |
1073807855 | Sheri Sullins Buckley | Nurse Practitioner | 120 Oakside Ct Ste H, Canton, GA 30114 | 2011-06-08 |
Find all providers in zip 30114 |
Taxonomy Code | 207RH0003X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Hematology & Oncology |
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366558298 | Angela M Nervi | Internal Medicine | 5 Tippycart Rd, Canton, MA 02021-1716 | 2006-08-22 |
1780612333 | Nagaprasad Nagajothi | Internal Medicine | 3688 Dressler Rd Nw, Canton, OH 44718-2781 | 2006-06-30 |
1417917147 | Kisa E Weeman | Internal Medicine | 2600 Sixth Street, Canton, OH 44710 | 2006-03-25 |
1023015674 | Mitchell Haut | Internal Medicine | 1455 Harrison Ave Nw, Ste 105, Canton, OH 44708-2609 | 2005-06-28 |
1467721191 | Hematology & Oncology Associates, Inc | Internal Medicine | 1455 Harrison Ave Nw, Suite 104, Canton, OH 44708-2621 | 2011-12-27 |
1124282843 | Navneet Dhillon | Internal Medicine | 228 Riverstone Dr, Canton, GA 30114-5256 | 2008-07-11 |
1831394287 | John Andrew Jakob | Internal Medicine | 2600 Sixth St Sw, Canton, OH 44710-1702 | 2007-06-17 |
1972626174 | Hematology & Oncology Associates, Inc | Internal Medicine | 1455 Harrison Ave Nw, Suite 105, Canton, OH 44708-2621 | 2007-04-10 |
1942398656 | Morningstar Hematology and Oncology Associates, Inc | Internal Medicine | 2600 6th St Sw, Cancer Center, Canton, OH 44710 | 2006-10-10 |
1821057944 | Paul R Manuszak | Internal Medicine | 2600 Sixth St Sw, Canton, OH 44710-1702 | 2006-03-18 |
Find all providers in CANTON |
Please comment or provide details below to improve the information on GEORGIA CANCER SPECIALISTS I PC.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.