Northwest Georgia Oncology Centers, Pc is an authorized DME supplier for medicare equipments and products.
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.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.
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