SOUTHEAST GEORGIA HEMATOLOGY/ONCOLOGY ASSOC. NPI 1083629877

NPI Information

NPI: 1083629877
Provider Name: SOUTHEAST GEORGIA HEMATOLOGY/ONCOLOGY ASSOC.
Classification: Clinic/Center - 261QX0200X
Entity Type: Organization

Specialization: Oncology

Address:
1111 GLYNCO PKWY
SUITE 500
BRUNSWICK, GA
ZIP 31525
Phone: (912) 261-0080
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SOUTHEAST GEORGIA HEMATOLOGY/ONCOLOGY ASSOC. is an oncology clinic center in Brunswick, GA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment and prescriptive services related to cancerous conditions. Services include chemotherapy infusions and monitoring of implanted chemotherapeutic agents. SOUTHEAST GEORGIA HEMATOLOGY/ONCOLOGY ASSOC. NPI is 1083629877. The provider is registered as an organization entity type.

The provider's business location address is:

1111 GLYNCO PKWY
SUITE 500
BRUNSWICK, GA
ZIP 31525-921
Phone: (912) 261-0080
Fax: (912) 261-0206

The provider's authorized official is Judy L Marshall .
The authorized official title is Administrator and has the following contact phone number (912) 261-0080.

The enumeration date for this NPI number is 7/30/2006 and was last updated on 5/14/2008.

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
1	261QX0200X	Clinic/Center	Oncology			Yes

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
1	2459	MEDICARE ID-TYPE UNSPECIFIED	GEORGIA	GROUP
2	G98652	MEDICARE UPIN	GEORGIA
3	G92344	MEDICARE UPIN	GEORGIA
4	E41967	MEDICARE UPIN	GEORGIA

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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