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INTEGRATED COMMUNITY ONCOLOGY NETWORK NPI 1194750315


NPI Information

NPI: 1194750315
Provider Name: INTEGRATED COMMUNITY ONCOLOGY NETWORK

Other Name: SOUTHEAST GEORGIA RADIATION ONCOLOGY

Classification: Legal Medicine - 173000000X
Entity Type: Organization

CLIA Number: 11D2267237

Address:
2500 STARLING ST
SUITE 107
BRUNSWICK, GA
ZIP 31520
Phone: (912) 466-5100
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INTEGRATED COMMUNITY ONCOLOGY NETWORK is a legal medicine in Brunswick, GA. The provider is the specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judicial proceedings, medical treatment of inmates of penal institutions, the practice of trauma medicine in law enforcement settings, and other clinical practice and medical science applications in the fields of law, law enforcement, and corrections. INTEGRATED COMMUNITY ONCOLOGY NETWORK NPI is 1194750315. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Southeast Georgia Radiation Oncology.

The provider's business location address is:

2500 STARLING ST
SUITE 107
BRUNSWICK, GA
ZIP 31520-265
Phone: (912) 466-5100
Fax: (912) 466-5113

The provider's authorized official is Shyam Paryani .
The authorized official title is Director and has the following contact phone number (904) 346-3338.

The CLIA number assigned to this NPI record is 11D2267237 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/12/2006 and was last updated on 10/31/2007.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1173000000XLegal MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1DD1990OTHERGEORGIAMEDICARE RAILROAD
2GRP6862MEDICARE PINGEORGIA
3DD1817OTHERGEORGIAMEDICARE RAILROAD

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: 5/5/2024

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