Northwest Georgia Oncology Centers, Pc
Specialist
340 Kennestone Hospital Blvd, Suite 200, Marietta
Georgia, 30060-1121
770-281-5100 678-581-7100
Northwest Georgia Oncology Centers, Pc is a Specialist in Marietta, Georgia. It is located at 340 Kennestone Hospital Blvd, Suite 200, Marietta and it's customer support contact number is 770-281-5100. The authorized person of Northwest Georgia Oncology Centers, Pc is Dr. Bruce J Gould, MD who is Md/ Physician of the pharmacy and his contact number is 770-281-5100. Active license number of Northwest Georgia Oncology Centers, Pc is 032740 for Specialist in Georgia. Northwest Georgia Oncology Centers, Pc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Northwest Georgia Oncology Centers, Pc is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Pharmacy Details:
Northwest Georgia Oncology Centers, Pc type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Northwest Georgia Oncology Centers, Pc |
| Type: | Specialist |
| Location: | 340 Kennestone Hospital Blvd, Suite 200, Marietta,
Georgia, 30060-1121 |
| Phone: | 770-281-5100 |
| Fax: | 678-581-7100 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Dr. Bruce J Gould |
| Credentials: | MD |
| Position: | Md/ Physician |
| Contact Number: | 770-281-5100 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1750376695 |
| NPI Enumeration Date: | 16 Sep, 2005 |
| NPI Last Update On: | 01 Jun, 2011 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Northwest Georgia Oncology Centers, Pc are as mentioned below.
| Specialization | License Number | State | Status | |
| Specialist | 032740 | Georgia | Primary | |
| Pharmacy | | Georgia | Secondary | |
| Community/Retail Pharmacy | | Georgia | Secondary | |
| Specialty Pharmacy | | Georgia | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 300028463A | Medicaid | Georgia | |
| GRP245 | Other | Georgia | Group Ptan |
Medicare Enrollment:
Northwest Georgia Oncology Centers, Pc is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 5395642284 | O20031218000066 | Northwest Georgia Oncology Centers, Pc | PART B SUPPLIER - CLINIC/GROUP PRACTICE |
| 5395642284 | O20170407001428 | Northwest Georgia Oncology Centers, Pc | DME SUPPLIER - PHYSICIAN - HEMATOLOGY/ONCOLOGY |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 1700 Hospital South Dr, Suite 300
Austell, Georgia |
| Zip: | 30106-6810 |
| Phone Number: | 770-944-2830 |
| Fax Number: | 678-581-7170 |
Patients can reach Northwest Georgia Oncology Centers, Pc at
340 Kennestone Hospital Blvd, Suite 200, Marietta, Georgia or can
call on customer care at 770-281-5100.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.