# BIOCARE ONCOLOGY AND THERAPEUTICS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225746894
- **Authorized official:** KINGSLEY IWUDIBIA PHARMD (OWNER)
- **Authorized official phone:** (470) 377-6400

## Contact information

- **Practice address:** 371 E PACES FERRY RD NE STE 640, ATLANTA, GA 30305-2372
- **Practice address phone:** (508) 315-2769
- **Mailing address:** 371 E PACES FERRY RD, SUITE 240, ATLANTA, GA 30305-2372
- **Mailing address phone:** (470) 377-6400

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | NULL | Yes |
| 363L00000X | Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 11/11/2022
- **Last updated:** 07/12/2023