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Organization
SATILLA CANCER TREATMENT CENTERS, LLC
Active
Organization
SATILLA CANCER TREATMENT CENTERS, LLC
Active
Other names
CurePoint
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELINE LILLICOTCH (CREDENTIALING OFFICER)
(478) 272-2255
Entity
Organization
Contact information
Practice address
1451 CHURCH ST, WAYCROSS, GA 31501-3531
(912) 283-3087
(912) 283-7337
Mailing address
1400 PETERSON AVE N, SUITE 10, DOUGLAS, GA 31533-2832
(912) 383-0815
(912) 383-0826
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
055248
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11D1096832
CLIA
GA
01
—
202G708768
MEDICARE PTAN
GA
05
—
300027669F
—
GA
01
—
DQ2362
RR MCR
GA
Enumeration date
03/05/2009
Last updated
10/19/2011
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