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ONCOLOGY MEDICAL CENTER PC NPI 1508865684


NPI Information

NPI: 1508865684
Provider Name: ONCOLOGY MEDICAL CENTER PC
Classification: Internal Medicine - 207RH0003X
Entity Type: Organization

Specialization: Hematology & Oncology

Address:
3226 G HAMPTON AVE
BRUNSWICK, GA
ZIP 31520
Phone: (912) 265-1212
Get Directions

ONCOLOGY MEDICAL CENTER PC is a hematology and oncology internal medicine in Brunswick, 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. ONCOLOGY MEDICAL CENTER PC NPI is 1508865684. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3226 G HAMPTON AVE
BRUNSWICK, GA
ZIP 31520-251
Phone: (912) 265-1212
Fax: (912) 265-2859

The provider's authorized official is Jan Osta .
The authorized official title is Office Manager and has the following contact phone number (912) 265-1212.

The enumeration date for this NPI number is 7/20/2005 and was last updated on 3/4/2010.


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
1207RH0003XInternal MedicineHematology & Oncology015631GEORGIAYes

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
1099645MEDICARE UPIN
2295421147AMEDICARE ID-TYPE UNSPECIFIEDGEORGIA
3000069297AMEDICAIDGEORGIA
40703820001MEDICARE NSCGEORGIA

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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