# PIEDMONT CANCER INSTITUTE PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** PEACHTREE HEMATOLOGY-ONCOLOGY CONSULTANTS PC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1831268606
- **Authorized official:** ERIC DEAN MININBERG MD (PRESIDENT)
- **Authorized official phone:** (404) 350-9853

## Contact information

- **Practice address:** 1800 HOWELL MILL RD NW STE 775, ATLANTA, GA 30318-3186
- **Practice address phone:** (678) 298-3228
- **Practice address fax:** (678) 298-3229
- **Mailing address:** 1800 HOWELL MILL RD NW STE 775, ATLANTA, GA 30318-3186
- **Mailing address phone:** (678) 298-3228
- **Mailing address fax:** (678) 298-3229

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | PHRE008932 | GA | Yes |
| 3336S0011X | Specialty Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 11/07/2006
- **Last updated:** 03/12/2024