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Dr. Philip Shrake, MD
Radiation Oncology Physician in Lawrenceville, Georgia
NPI 1376527531

Philip Shrake is a Radiation Oncology Physician based in Atlanta, GA and is specialized in Radiation Oncology. Philip Shrake practices in Lawrenceville, GA and has the professional credentials of MD. The NPI Number for Philip Shrake is 1376527531 and holds a License No. 046327 (Georgia).

The current practice location address for Philip Shrake is 311 Philip Blvd, Lawrenceville, GA and can be reached out via phone at 770-995-3000 and via fax at 770-995-1427.

Location: 311 Philip Blvd, Lawrenceville, GA, 30368-0001
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1376527531
Provider Name
Philip Shrake
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
311 Philip Blvd, Lawrenceville, GA, 30368-0001
Phone Number
770-995-3000
Fax Number
770-995-1427
Provider Enumeration Date
12/01/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000809729D 05 GA
00809729A 05 GA
institution
Provider Business Practice Location Address Details
Address
311 Philip Blvd
City
Lawrenceville
State
Georgia
Zip
30045-8733
Phone Number
770-995-3000
Fax Number
770-995-1427
person
Provider Business Mailing Address Details
Address
311 Philip Blvd
City
Lawrenceville
State
Georgia
Zip
30045-8733
Phone Number
770-995-3000
Fax Number
770-995-1427
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
46327 (Georgia)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Radiation Oncology
Taxonomy
2085R0001X
License No.
046327 (Georgia)
Definition
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
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