Organization
NORTHEAST GEORGIA CANCER SPECIALIST, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRANK G LAKE III M.D. (PRESIDENT)
(770) 535-3393
Entity
Organization
Contact information
Practice address
NORTHEAST GEORGIA MEDICAL CENTER, 743 SPRING STREET, GAINESVILLE, GA 30501
(770) 535-3393
(770) 503-0579
Mailing address
PO BOX 2418, GAINESVILLE, GA 30503-2418
(770) 693-6022
(770) 693-6039
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
11/10/2005
Last updated
08/22/2020
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