Organization
BIOCARE ONCOLOGY AND THERAPEUTICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KINGSLEY IWUDIBIA PHARMD (OWNER)
(470) 377-6400
Entity
Organization
Contact information
Practice address
371 E PACES FERRY RD NE STE 640, ATLANTA, GA 30305-2372
(508) 315-2769
Mailing address
371 E PACES FERRY RD, SUITE 240, ATLANTA, GA 30305-2372
(470) 377-6400
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
11/11/2022
Last updated
07/12/2023
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