NPI age
19 years
Enumerated 2007-03-06
● Active Type 2 · Organization
Georgia Cancer Spec Lab Llc
Georgia Cancer Spec Lab Llc is 1 of 96 internal medicine organizations in Georgia.
Primary specialty
Internal Medicine
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Holden
Lead
Last NPPES update
2020-08-22
Source: monthly bulk 2026-05
How this organization compares
Across 96 active internal medicine providers in Georgia.
NPI age
19 years
≈ at median (18 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2007 → 2026
2007-03Enumerated in NPPES
2007
2026
Where they practice
Primary practice location
1364 Wellbrook Cir Ne
Conyers, GA 300123872
Mailing address
Po Box 468329
Atlanta, GA 311468329
Authorized official
Alicia Holden, ACCOUNTING
Lead
📞 4049430205
Individual providers at this organization
3 individual providers on file at this primary practice address.
- Gayla Dillard, M.D. Surgery NPI 1649291659
- Andrew Harper, M.D. Surgery NPI 1134129562
- Dione Super, MD Dermatology NPI 1598974503
Specialties
-
Internal Medicine PrimaryAn 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...
Practice context
Multi-provider organization. 3 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.