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Organization

LW GWINNETT COUNTY RADIATION

Active
Parent organization
RADIOTHERAPY CLINICS OF GEORGIA,LLC
Other names
Radiotherapy Clinics of Georgia
Organization subpart
Yes

Provider details

NPI number
Legal business name
RADIOTHERAPY CLINICS OF GEORGIA,LLC
Authorized official
TAMMIE LAVISCOUNT (CONTRACT ANALYST)
(770) 682-2080
Entity
Organization

Contact information

Practice address
311 PHILIP BLVD, LAWRENCEVILLE, GA 30045-8733
(770) 995-3000
(770) 995-1427
Mailing address
53 PERIMETER CTR E, SUITE 500, ATLANTA, GA 30346-2294
(770) 682-2080
(678) 587-9275

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
46327
GA

Other

Enumeration date
04/25/2008
Last updated
04/25/2008
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