THE BREAST CARE TEAM , PC


Address: 130 Riverstone Ter, Suite 101, Canton, GA 30114-1702
Phone: 7707046977

THE BREAST CARE TEAM , PC (NPI# 1942498050) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1942498050
Entity Type Organization
Organization Name THE BREAST CARE TEAM , PC
Practice Address 130 Riverstone Ter
Suite 101
Canton
GA 30114-1702
Practice Telephone 7707046977
Practice Fax Number 7707046169
Mailing Telephone 7707046977
Mailing Fax Number 7707046169
Enumeration Date 2007-10-15
Last Update Date 2007-12-19
Authorized Official Name DR. ANITA T JOHNSON (PHYSICIAN/OWNER)
Authorized Official Telephone 7707046977
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2086X0206X Surgery
Specialization: Surgical Oncology
053464 GA Allopathic & Osteopathic Physicians

Office Location

Street Address 130 RIVERSTONE TER
SUITE 101
City CANTON
State GA
Zip Code 30114-1702

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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
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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
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Taxonomy Information

Taxonomy Code 2086X0206X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery
Specialization Surgical Oncology

Taxonomy Definition

A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research.
Notes: Source: Society of Surgical Oncology, 2007 [1/1/2008: definition added, source added, 7/1/2009: definiition reformatted] Additional Resources: http://www.surgonc.org/ ; American Board of Medical Specialties, 2007, www.abms.org ; American Board of Surgery, 2007, http://www.absurgery.org/ Surgical oncology is a recognized fellowship subspecialty program of surgery. Separate board certification is not currently offered.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1750540233 Shishir Kumar Maithel Surgery 101w Ponce De Leon Ave, Decatur, GA 30030-2528 2008-06-09
1851580575 West Augusta Surgical Associates Surgery 2320 Wrightsboro Rd, Augusta, GA 30904-6233 2007-10-18
1902003684 Nicole Kounalakis Surgery 980 Johnson Fy Rd Ne Ste 940a, Atlanta, GA 30342-1609 2007-06-27
1093924409 Taranjit Kaur Arora Surgery 1120 15th St Ste Bi1056, Augusta, GA 30912-0001 2007-05-22
1457401630 Anita Johnson Surgery 120 N Medical Pkwy Bldg 100, Suite 201, Woodstock, GA 30189-7062 2007-01-11
1780746289 Cletus Anthony Arciero Surgery 1364 Clifton Road, Ne, Emory University Hospital, Atlanta, GA 30322 2006-12-14
1023103165 Cancer Care Pavilion Inc Surgery 225 Candler Dr., Ste 224, Savannah, GA 31405 2006-10-04
1083634067 William Wood Surgery 1327 Clifton Rd Ne, Atlanta, GA 30322-1013 2006-07-20
1215932041 Arnold Michael Conforti Surgery 800 1st St Ste 240, Macon, GA 31201-8300 2005-06-17
1497364749 Bariatric and Minimally Invasive Surgical Institute Surgery 1105 Upper Hembree Rd Ste A, Roswell, GA 30076-0912 2020-07-23
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Competitor

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City CANTON
Zip Code 30114

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Dataset Information

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.

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