Organization
ONCOLOGY & HEMATOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LLOYD G GEDDES JR. M.D. (CEO)
(678) 789-5236
Entity
Organization
Contact information
Practice address
550 PEACHTREE ST NE, SUITE 1075, ATLANTA, GA 30308-2247
(678) 789-5236
(404) 888-8881
Mailing address
PO BOX 54283, ATLANTA, GA 30308-0283
(678) 789-5236
(404) 888-8881
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
045798
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00857447D
—
GA
01
—
045798
LICENSE
GA
Enumeration date
11/29/2007
Last updated
11/29/2007
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