| Biocare Oncology And Therapeutics, Llc | |
|
371 E Paces Ferry Rd Ne Ste 640 Atlanta GA 30305-2372 | |
| (508) 315-2769 | |
| Not Available |
| Full Name | Biocare Oncology And Therapeutics, Llc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 371 E Paces Ferry Rd Ne Ste 640, Atlanta, Georgia |
| Authorized Official Name and Position | Kingsley Iwudibia (OWNER) |
| Authorized Official Contact | 4703776400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Biocare Oncology And Therapeutics, Llc 371 E Paces Ferry Rd Suite 240 Atlanta GA 30305-2372 Ph: (470) 377-6400 | Biocare Oncology And Therapeutics, Llc 371 E Paces Ferry Rd Ne Ste 640 Atlanta GA 30305-2372 Ph: (508) 315-2769 |
| NPI Number | 1225746894 |
|---|---|
| Provider Enumeration Date | 11/11/2022 |
| Last Update Date | 07/12/2023 |
| Medicare PECOS PAC ID | 9436519899 |
|---|---|
| Medicare Enrollment ID | O20230717001811 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225746894 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Primary |
| Provider Name | Victor E Okeh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104092048 PECOS PAC ID: 4486828274 Enrollment ID: I20160712000381 |
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