Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Georgia Cancer Spec Lab LLC

Organization Medical Oncology Physician · NPI 1184754871

Georgia Cancer Spec Lab LLC provides Medical Oncology Physician services in Conyers, Georgia. Registered with an NPI since 2007.

In the registry since
2007
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1364 Wellbrook Cir NE
Conyers, GA 30012-3872
Phone: (404) 943-0205
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Oncology Physician (primary) Taxonomy 207RX0202X

Record details

NPI number1184754871
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Alicia Holden — Lead · (404) 943-0205
NPI enumeratedMarch 6, 2007
Last updated in NPPESAugust 22, 2020
Mailing addressPo Box 468329, Atlanta, GA 31146-8329

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