ONCOLOGY HEMATOLOGY CARE CENTER INC NPI 1619150182

NPI Information

  • NPI: 1619150182
  • Provider Name: ONCOLOGY HEMATOLOGY CARE CENTER, INC
  • Classification: Internal Medicine - 207RH0003X
  • Specialization: Hematology & Oncology
  • Entity Type: Organization
  • Address: 501 RIVERSIDE DR
    WAYCROSS, GA
    ZIP 31501
  • Phone: (912) 283-6152

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NPI Details

ONCOLOGY HEMATOLOGY CARE CENTER, INC is a hematology and oncology internal medicine in Waycross, 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 HEMATOLOGY CARE CENTER, INC NPI is 1619150182. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

501 RIVERSIDE DR
WAYCROSS, GA
ZIP 31501-316
Phone: (912) 283-6152
Fax: (912) 283-5264

The provider's authorized official is Latina Heard .
The authorized official title is Office Manager and has the following contact phone number (912) 283-6152.

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

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
1207RH0003XInternal MedicineHematology & Oncology036088GEORGIAYes

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
183BBBBMMEDICARE PINGEORGIA
2A14530MEDICARE UPINGEORGIA

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: 3/30/2025

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