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Southeastern Surgical Oncology
Specialist in Macon, Georgia
NPI 1205014057

Southeastern Surgical Oncology is a Specialist based in Macon, GA. Southeastern Surgical Oncology practices in Macon, GA. The NPI Number for Southeastern Surgical Oncology is 1205014057 and holds a License No. 051872 (Georgia).

The current practice location address for Southeastern Surgical Oncology is 800 Spring St, Macon, GA and can be reached out via phone at 478-745-3363 and via fax at 478-745-3330.

Location: 800 Spring St, Macon, GA, 31201-2113
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1205014057
Provider Name
Southeastern Surgical Oncology
Credential
Provider Entity Type
Organization
Address
800 Spring St, Macon, GA, 31201-2113
Phone Number
478-745-3363
Fax Number
478-745-3330
Provider Enumeration Date
02/04/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
GRP3914 01 GA MEDICARE GROUP ID
institution
Provider Business Practice Location Address Details
Address
800 Spring St
City
Macon
State
Georgia
Zip
31201-2113
Phone Number
478-745-3363
Fax Number
478-745-3330
person
Provider Business Mailing Address Details
Address
800 Spring St
City
Macon
State
Georgia
Zip
31201-2113
Phone Number
478-745-3363
Fax Number
478-745-3330
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
051872 (Georgia)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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