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Contact Information

CAROLINA SURGICAL ONCOLOGY, PC
1058 BERMUDA RUN
STATESBORO, GA30458-0858
 Phone: 864-580-8033
 Fax: 864-349-2145
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical Oncology

2086X0206X 02 Physician/General Surgery
 

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for CAROLINA SURGICAL ONCOLOGY PC · (Female)

NPI Number 1194742288
Status Active
Credentials
Entity Individual
Enumeration date 07/16/2006
Last updated 10/29/2019 - About 7 years ago
Sole proprietor 1 Not specified
Identifiers
  • SC License # 27417
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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