Organization
PIEDMONT CANCER INSTITUTE PC
Active
Other names
PEACHTREE HEMATOLOGY-ONCOLOGY CONSULTANTS PC
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC DEAN MININBERG MD (PRESIDENT)
(404) 350-9853
Entity
Organization
Contact information
Practice address
1800 HOWELL MILL RD NW STE 775, ATLANTA, GA 30318-3186
(678) 298-3228
(678) 298-3229
Mailing address
1800 HOWELL MILL RD NW STE 775, ATLANTA, GA 30318-3186
(678) 298-3228
(678) 298-3229
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHRE008932
GA
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
055000929B
—
GA
01
—
2015808
PK
—
Enumeration date
11/07/2006
Last updated
03/12/2024
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