Organization
NORTHWEST GEORGIA ONCOLOGY CENTERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRUCE J GOULD MD (MD PHYSICIAN)
(770) 281-5100
Entity
Organization
Contact information
Practice address
2230 TOWNE LAKE PKWY, BLDG 1100 STE 140, WOODSTOCK, GA 30189-5540
(678) 445-2200
(678) 445-2210
Mailing address
1700 HOSPITAL SOUTH DR, SUITE 300, AUSTELL, GA 30106-6810
(770) 944-2830
(678) 581-7170
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0741780002
GA
Other
Enumeration date
03/01/2007
Last updated
06/06/2008
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