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Organization

2406 CANCER CARE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ERICH GRAHAM RANDOLPH (AUTHORIZED OFFICIAL)
(404) 234-6473
Entity
Organization

Contact information

Practice address
2406 BELLEVUE RD STE 7, DUBLIN, GA 31021-2842
(478) 272-2255
Mailing address
PO BOX 96465, CHARLOTTE, NC 28296-0465
(478) 272-2255

Taxonomy

Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary

Other

Enumeration date
01/16/2023
Last updated
12/03/2025
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