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Organization
VIDALIA REGIONAL CANCER CENTER
Active
Organization
VIDALIA REGIONAL CANCER CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TONY O'STEEN (CONTROLLER)
(912) 538-5857
Entity
Organization
Contact information
Practice address
1707 MEADOWS LN, SUITE C, VIDALIA, GA 30474-7200
(912) 538-7777
(912) 538-7070
Mailing address
1707 MEADOWS LN, SUITE C, VIDALIA, GA 30474-7200
(912) 538-7777
(912) 538-7070
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
060835
GA
Other
Enumeration date
06/02/2008
Last updated
06/02/2008
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