Organization
ADVANCED BREAST CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD ELLIS FINE M.D. (DIRECTOR)
(770) 422-1988
Entity
Organization
Contact information
Practice address
790 CHURCH ST NE, SUITE 410, MARIETTA, GA 30060-7282
(770) 422-1988
(770) 874-0226
Mailing address
790 CHURCH ST NE, SUITE 410, MARIETTA, GA 30060-7282
(770) 422-1988
(770) 874-0226
Taxonomy
Speciality
Code
Description
License number
State
2086X0206X
Surgical Oncology Physician
Primary
—
—
Other
Enumeration date
03/19/2007
Last updated
08/22/2020
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