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
561 DEEP SOUTH FARM RD, STE 2, BLAIRSVILLE, GA 30512-2289
(706) 835-1589
(706) 835-2284
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
074178000
GA
Other
Enumeration date
03/01/2007
Last updated
11/24/2010
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