Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0003X | Hematology & Oncology | 050820 | GA |
NPI | 1043215452 |
---|---|
Provider Name | Dr. Steven Leland Mccune |
First Address | Marietta, GA 30060-6975 |
Second Address | Marietta, GA 30060-1158 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/06/2005 |
Last Update Date | 10/06/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000943489F | (05) | GA |
000943489G | (05) | GA |
00943489A | (05) | GA |
00943489B | (05) | GA |
00943489C | (05) | GA |
00943489D | (05) | GA |
00943489E | (05) | GA |
1043215452 | NPI NUMBER (01) | GA |
G81753 | (02) | GA |