| International Cancer Foundation | |
|
1989 N Highway 341 Rossville GA 30741-6204 | |
| (423) 593-7525 | |
| (706) 858-1287 |
| Full Name | International Cancer Foundation |
|---|---|
| Speciality | Family Medicine |
| Location | 1989 N Highway 341, Rossville, Georgia |
| Authorized Official Name and Position | Bennie Johnson (CEO) |
| Authorized Official Contact | 4235937525 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| International Cancer Foundation 1989 N Highway 341 Rossville GA 30741-6204 Ph: (423) 593-7525 | International Cancer Foundation 1989 N Highway 341 Rossville GA 30741-6204 Ph: (423) 593-7525 |
| NPI Number | 1174690721 |
|---|---|
| Provider Enumeration Date | 11/29/2006 |
| Last Update Date | 07/23/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174690721 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 23999 (Georgia) | Primary |
Primary Health Care Center Of Dade, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1250 Wilson Rd, Rossville, GA 30741 Phone: 706-866-5520 Fax: 706-657-2958 | |
Primary Health Care Center Of Dade, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 316 Bull Dog Trl, Rossville, GA 30741 Phone: 706-866-5520 Fax: 706-657-2958 |