Organization
GEORGIA PROTONCARE CENTER, INC.
Active
Organization
GEORGIA PROTONCARE CENTER, INC.
Active
Other names
Emory Proton Therapy Center
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA LOCKWOOD (VP, CHIEF FINANCIAL OFFICER)
(225) 766-3977
Entity
Organization
Contact information
Practice address
615 PEACHTREE ST NE, ATLANTA, GA 30308-2309
(770) 217-7565
Mailing address
615 PEACHTREE ST NE, ATLANTA, GA 30308-2309
(770) 217-7565
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
GA
261QX0203X
Radiation Oncology Clinic/Center
—
—
Other
Enumeration date
06/14/2018
Last updated
06/14/2018
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