IndividualActive
Bradley Larson, MD
NPI 1194729582 · Hematology & Oncology Physician · Carrollton, GA
Provider details
- NPI number
- 1194729582
- Entity type
- Individual
- Primary specialty
- Hematology & Oncology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 054449 (GA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
157 Clinic Ave
Ste 101
Carrollton, GA 30117-4413
Phone: (770) 333-2220
Fax: (678) 581-7180
Approximate (ZIP-level) locationGet directions
Mailing address
531 Roselane St Nw Ste 710
Marietta, GA 30060-6975
Registry dates
- Enumerated
- 2005-06-13
- Last updated
- 2017-12-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.