Organization
CITY OF HOPE MEDICAL GROUP OF GEORGIA LLC
Active
Other names
CTCA PHYSICIANS GROUP OF GEORGIA LLC
Organization subpart
No
Provider details
NPI number
Authorized official
HEIDI BETH CARMEAN (SYSTEM DIRECTOR, CREDENTIALING)
(626) 218-4957
Entity
Organization
Contact information
Practice address
600 CELEBRATE LIFE PARKWAY, NEWNAN, GA 30265-8000
(847) 746-4333
Mailing address
62742 COLLECTION CENTER DR, CHICAGO, IL 60693-0627
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
2085R0001X
Radiation Oncology Physician
—
—
2085R0202X
Diagnostic Radiology Physician
—
—
2085R0203X
Therapeutic Radiology Physician
—
—
208600000X
Surgery Physician
—
—
208M00000X
Hospitalist Physician
—
—
Other
Enumeration date
01/09/2012
Last updated
02/11/2026
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