Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0003X | Hematology & Oncology | 020150 | LA |
N | 207RX0202X | Medical Oncology | 020150 | LA |
NPI | 1013995646 |
---|---|
Provider Name | Dr. Christopher Miles Mccanless |
First Address | Atlanta, GA 30368-7287 |
Second Address | Baton Rouge, LA 70809-3748 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/01/2006 |
Last Update Date | 02/07/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1918954 | (05) | LA |
E90110 | (02) |