# SJC ONCOLOGY SERVICES-GEORGIA, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1437550811
- **Authorized official:** WILLIAM EDWARD RICHARDS MD (GYN ONCOLOGY PHYSICIAN)
- **Authorized official phone:** (912) 819-5771

## Contact information

- **Practice address:** 5353 REYNOLDS ST, SUITE 200, SAVANNAH, GA 31405-6015
- **Practice address phone:** (912) 819-5771
- **Practice address fax:** (912) 819-5772
- **Mailing address:** 5353 REYNOLDS ST, SUITE 200, SAVANNAH, GA 31405-6015
- **Mailing address phone:** (912) 819-5771
- **Mailing address fax:** (912) 819-5772

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | RN176789 | GA | Yes |

## Other

- **Enumeration date:** 09/04/2014
- **Last updated:** 09/04/2014