Organization
THE PHILIP ISRAEL BREAST CENTER, P.C.
Active
Other names
The Breast Center, P.C.
Organization subpart
No
Provider details
NPI number
Authorized official
MITZI EDGE (PRACTICE ADMINISTRATOR)
(770) 428-4486
Entity
Organization
Contact information
Practice address
702 CANTON RD NE, MARIETTA, GA 30060-7271
(770) 428-4486
(770) 425-6008
Mailing address
702 CANTON RD NE, MARIETTA, GA 30060-7271
(770) 428-4486
(770) 425-6008
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
08/30/2006
Last updated
04/20/2016
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