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Organization
SUBURBAN HEMATOLOGY ONCOLOGY ASSOCIATES, PC
Active
Organization
SUBURBAN HEMATOLOGY ONCOLOGY ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CANDACE A HAYES (ADMINISTRATOR)
(678) 533-1555
Entity
Organization
Contact information
Practice address
631 PROFESSIONAL DRIVE, SUITE 450, LAWRENCEVILLE, GA 30046-7651
(770) 963-8030
(770) 339-9577
Mailing address
631 PROFESSIONAL DRIVE, SUITE 450, LAWRENCEVILLE, GA 30046-7650
(770) 963-8030
(770) 339-9577
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CH5181
MEDICARE RAILROAD GRP#
GA
Enumeration date
12/11/2006
Last updated
01/28/2010
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