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Contact Information

SURGICAL ONCOLOGY & GENERAL SUGERY, PC
406 MEDICAL PARK DR
ATMORE, AL36502-3016
 Phone: 251-368-9826
 Fax: 251-368-3917
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
 

Surgery

208600000X 02 Physician/General Surgery
 

Surgical Oncology

2086X0206X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for SURGICAL ONCOLOGY & GENERAL SUGERY, PC

NPI # 1588787220
LBN Legal business name SURGICAL ONCOLOGY & GENERAL SUGERY, PC
Authorized official WILLIAM HARRIS - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 04/09/2007
Last updated 02/09/2023 - About 3 years ago
Identifiers
AL License # 9132
AL Medicaid 000080702
AL Other 51080702 BCBS
AL Other 529301280 MEDICAID GROUP #
AL Other 000080702 MEDICARE
AL Other 010024215 RR 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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