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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

NPI # 1194742288
LBN Legal business name CAROLINA SURGICAL ONCOLOGY, PC
Authorized official RAUL LUGO - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 07/16/2006
Last updated 10/29/2019 - About 7 years ago
Identifiers
SC License # 27417
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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