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Organization

INTERNATIONAL CANCER FOUNDATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BENNIE JOHNSON MD (CEO)
(423) 593-7525
Entity
Organization

Contact information

Practice address
1989 N HIGHWAY 341, ROSSVILLE, GA 30741-6204
(423) 593-7525
(706) 858-1287
Mailing address
1989 N HIGHWAY 341, ROSSVILLE, GA 30741-6204
(423) 593-7525
(706) 858-1287

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
23999
GA

Other

Enumeration date
11/29/2006
Last updated
07/23/2008
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