Organization
GEORGIA CANCER SPECIALISTS I, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WENDY H. LENZ MD (COO)
(770) 496-5555
Entity
Organization
Contact information
Practice address
3886 PRINCETON LAKES WAY SW, SUITE 200, ATLANTA, GA 30331-5511
(404) 349-7300
(404) 349-7344
Mailing address
1835 SAVOY DR, SUITE 300, ATLANTA, GA 30341-1072
(770) 495-3396
(770) 495-2307
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
GRP2415
MEDICARE GROUP PTAN
GA
Enumeration date
03/01/2011
Last updated
03/01/2011
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