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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.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Hematology & Oncology |
207RH0003X | 11 | Physician/Internal Medicine | |
Medical Oncology |
207RX0202X | 11 | Physician/Internal Medicine | |
Non-Pharmacy Dispensing Site |
332900000X | 87 | All Other Suppliers | |
Radiation Oncology |
2085R0001X | 92 | Physician/Radiation Oncology | |
Surgery |
208600000X | 02 | Physician/General Surgery | |
Surgical Oncology |
2086X0206X | 02 | Physician/General Surgery |
| NPI Number | 1578629556 |
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| LBN Legal business name | SOUTHERN CANCER CENTER, PC | ||||||||||||||||||||||||||||||||||||
| Authorized official | LAUREN PETTIS - (EXECUTIVE DIRECTOR) | ||||||||||||||||||||||||||||||||||||
| Entity | Organization | ||||||||||||||||||||||||||||||||||||
| Organization subpart 1 | No | ||||||||||||||||||||||||||||||||||||
| Enumeration date | 12/28/2006 | ||||||||||||||||||||||||||||||||||||
| Last updated | 12/16/2025 - About 6 months ago | ||||||||||||||||||||||||||||||||||||
| Identifiers |
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SOUTHERN CANCER CENTER, PC