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SUMMIT CANCER CARE P.C. NPI 1487676433


NPI Information

NPI: 1487676433
Provider Name: SUMMIT CANCER CARE, P.C.
Classification: Internal Medicine - 207RH0003X
Entity Type: Organization

Specialization: Hematology & Oncology

Address:
4700 WATERS AVE
SAVANNAH, GA
ZIP 31404
Phone: (912) 354-6187
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SUMMIT CANCER CARE, P.C. is a hematology and oncology internal medicine in Savannah, 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. SUMMIT CANCER CARE, P.C. NPI is 1487676433. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4700 WATERS AVE
SAVANNAH, GA
ZIP 31404-220
Phone: (912) 354-6187
Fax: (912) 355-9807

The provider's authorized official is Kristine Tillman .
The authorized official title is Cfo and has the following contact phone number (912) 354-6187.

The enumeration date for this NPI number is 7/25/2006 and was last updated on 7/21/2022.


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 & OncologyYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1300022032HMEDICAIDGEORGIA

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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