SJC ONCOLOGY SERVICES - GEORGIA LLC NPI 1710196589

NPI Information

NPI: 1710196589
Provider Name: SJC ONCOLOGY SERVICES - GEORGIA, LLC

Former Legal Business Name: F & G ASSOCIATES, LP D/B/A SAVANNAH ONCOLOGY CENTER LTD

Classification: Radiology - 2085R0001X
Entity Type: Organization

Specialization: Radiation Oncology

Address:
225 CANDLER DRIVE
SUITE 100
SAVANNAH, GA
ZIP 31405
Phone: (912) 352-1700
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SJC ONCOLOGY SERVICES - GEORGIA, LLC is a radiation oncology radiology in Savannah, GA. The provider is a radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. SJC ONCOLOGY SERVICES - GEORGIA, LLC NPI is 1710196589. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is F & G Associates, Lp D/b/a Savannah Oncology Center Ltd.

The provider's business location address is:

225 CANDLER DRIVE
SUITE 100
SAVANNAH, GA
ZIP 31405-023
Phone: (912) 352-1700
Fax: (912) 354-8545

The provider's authorized official is Gregory J Schaack .
The authorized official title is Cfo, Finance and has the following contact phone number (912) 819-6162.

The enumeration date for this NPI number is 5/21/2007 and was last updated on 6/26/2019.

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	207VX0201X	Obstetrics & Gynecology	Gynecologic Oncology			No
2	2086X0206X	Surgery	Surgical Oncology	61684	GEORGIA	No
3	261QX0200X	Clinic/Center	Oncology			No
4	2085R0001X	Radiology	Radiation 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	300026248A	MEDICAID	GEORGIA
2	CI8039	OTHER	GEORGIA	RAILROAD MEDICARE

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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