Organization
SUBURBAN HEMATOLOGY ONCOLOGY ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CANDANCE A HAYES (ADMINISTRATOR)
(678) 533-1555
Entity
Organization
Contact information
Practice address
1700 TREE LN, SUITE 490, SNELLVILLE, GA 30078-6782
(770) 979-2828
Mailing address
1700 TREE LN, SUITE 490, SNELLVILLE, GA 30078-6782
(770) 979-2828
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CH5181
MCARE RR GROUP#
GA
01
—
GRP3891
MCARE GROUP#
GA
Enumeration date
06/19/2008
Last updated
06/19/2008
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