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Contact Information

SJC ONCOLOGY SERVICES - GEORGIA, LLC
225 CANDLER DRIVE
SUITE 100
SAVANNAH, GA31405-6023
 Phone: 912-352-1700
 Fax: 912-354-8545
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Radiation Oncology

2085R0001X 92 Physician/Radiation Oncology
 

Gynecologic Oncology

207VX0201X 16 Physician/Obstetrics & Gynecology
 

Oncology

261QX0200X
 

Surgical Oncology

2086X0206X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for SJC ONCOLOGY SERVICES - GEORGIA, LLC

NPI Number 1710196589
LBN Legal business name SJC ONCOLOGY SERVICES - GEORGIA, LLC
Authorized official GREGORY SCHAACK - (CFO, FINANCE)
Entity Organization
Organization subpart 1 No
Enumeration date 05/21/2007
Last updated 06/26/2019 - About 7 years ago
Identifiers
GA License # 61684
GA Medicaid 300026248A
GA Other CI8039 RAILROAD MEDICARE
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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