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EAST GEORGIA CANCER CENTER NPI 1154453058


NPI Information

NPI: 1154453058
Provider Name: EAST GEORGIA CANCER CENTER
Classification: Internal Medicine - 207RH0003X
Entity Type: Organization

Specialization: Hematology & Oncology

Address:
1601 FAIR RD
#900
STATESBORO, GA
ZIP 30458
Phone: (912) 871-8000
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EAST GEORGIA CANCER CENTER is a hematology and oncology internal medicine in Statesboro, GA. The provider is an internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. EAST GEORGIA CANCER CENTER NPI is 1154453058. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1601 FAIR RD
#900
STATESBORO, GA
ZIP 30458-698
Phone: (912) 871-8000
Fax: (912) 871-3030

The provider's authorized official is Harsh Bhushan .
The authorized official title is M.d. and has the following contact phone number (912) 871-8000.

The enumeration date for this NPI number is 3/9/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RH0003XInternal MedicineHematology & Oncology051780GEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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