Organization
2406 CANCER CARE LLC
Active
Parent organization
2406 CANCER CARE LLC
Other names
Central Georgia Urology
Organization subpart
Yes
Provider details
NPI number
Legal business name
2406 CANCER CARE LLC
Authorized official
ERICH GRAHAM RANDOLPH (AUTHORIZED OFFICIAL)
(404) 234-6473
Entity
Organization
Contact information
Practice address
1000 HILLCREST PKWY, DUBLIN, GA 31021-4208
(478) 334-6964
(478) 334-2800
Mailing address
PO BOX 96465, CHARLOTTE, NC 28296-0465
(478) 272-2255
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Enumeration date
12/04/2023
Last updated
12/03/2025
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