Organization
NORTHWEST GEORGIA RADIATION ONCOLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARIF N. ALI (MANAGER)
(830) 734-7324
Entity
Organization
Contact information
Practice address
100 MARKET PLACE BLVD STE 102, CARTERSVILLE, GA 30121-8715
(678) 721-5555
Mailing address
PO BOX 105603 #41838, ATLANTA, GA 30348-5603
(830) 734-7324
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
—
—
Other
Enumeration date
03/08/2017
Last updated
12/07/2018
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