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Organization
INTEGRATED COMMUNITY ONCOLOGY NETWORK
Active
Organization
INTEGRATED COMMUNITY ONCOLOGY NETWORK
Active
Other names
Southeast Georgia Radiation Oncology
Organization subpart
No
Provider details
NPI number
Authorized official
SHYAM PARYANI MD (DIRECTOR)
(904) 346-3338
Entity
Organization
Contact information
Practice address
2500 STARLING ST, SUITE 107, BRUNSWICK, GA 31520-4265
(912) 466-5100
(912) 466-5113
Mailing address
2500 STARLING ST, SUITE 107, BRUNSWICK, GA 31520-4265
(912) 466-5100
(912) 466-5113
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
—
NULL
173000000X
Legal Medicine
Primary
—
—
Other
Enumeration date
07/12/2006
Last updated
10/31/2007
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