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Organization
GEORGIA ONCOLOGISTS ASSISTANCE
Active
Organization
GEORGIA ONCOLOGISTS ASSISTANCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOT FORTE (PA)
(512) 699-7347
Entity
Organization
Contact information
Practice address
5885 CUMMING HWY, SUITE 108 BOX 256, SUGAR HILL, GA 30518-5765
(678) 820-9001
Mailing address
5885 CUMMING HWY, SUITE 108 BOX 256, SUGAR HILL, GA 30518-5765
(678) 820-9001
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
1421
GA
Other
Enumeration date
10/01/2015
Last updated
10/04/2015
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