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GEORGIA CANCER SPEC LAB LLC
NPI 1184754871
Internal Medicine - Medical Oncology in Conyers, GA

Active since March 06, 2007
1364 WELLBROOK CIR NE, CONYERS, GA 30012(404) 943-0205 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Georgia Cancer Spec Lab Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GEORGIA CANCER SPEC LAB LLC (NPI 1184754871) is a healthcare organization registered as a medical oncology in Conyers, Georgia and active in the NPI registry since March 2007. The organization lists Alicia Holden, Lead, as its authorized official.

NPPES Registry Identity

NPI1184754871
Entity TypeOrganization
Primary Taxonomy207RX0202X
Legal Business NameGEORGIA CANCER SPEC LAB LLC
Location Address1364 WELLBROOK CIR NEConyers, GA 30012-3872
Mailing AddressPo Box 468329Atlanta, GA 31146-8329 · (404) 943-0205
Phone(404) 943-0205
Organization SubpartNo
Authorized OfficialAlicia HoldenLead · (404) 943-0205
Enumeration DateMarch 6, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1184754871 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Medical OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RX0202X
Definition
An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer.
1364 WELLBROOK CIR NE, Conyers, GA 30012
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANDREW S HARPER M.D.
Surgery
1364 WELLBROOK CIR NE
CONYERS, GA 30012
Rockdale County (770) 922-4024
GAYLA DILLARD MD PC
Surgery
1364 WELLBROOK CIR NE
CONYERS, GA 30012
Rockdale County (770) 761-7171
ANDREW S. HARPER, M.D.,INC.
Specialist
1364 WELLBROOK CIR NE
CONYERS, GA 30012
Rockdale County (770) 761-7171
DR. DIONE MARCUS SUPER MD
Dermatology
1364 WELLBROOK CIR NE
CONYERS, GA 30012
Rockdale County (770) 285-3533
GAYLA JANINE DILLARD M.D.
Surgery
1364 WELLBROOK CIR NE
CONYERS, GA 30012
Rockdale County (770) 761-7171
SUPER DERMATOLOGY LLC
Dermatology
1364 WELLBROOK CIR NE
CONYERS, GA 30012
Rockdale County (770) 285-3533

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Georgia Cancer Spec Lab LLC's NPI number?

The NPI number for Georgia Cancer Spec Lab LLC is 1184754871. It was assigned to this organization in the NPPES registry on March 6, 2007.

Where is Georgia Cancer Spec Lab LLC located?

Georgia Cancer Spec Lab LLC is located at 1364 Wellbrook Cir NE, Conyers, GA 30012. The listed phone number is (404) 943-0205.

What is Georgia Cancer Spec Lab LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Medical Oncology, with taxonomy code 207RX0202X.

When was this NPI record last updated?

The NPPES record for Georgia Cancer Spec Lab LLC was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.