Organization
CSRA GENERAL AND ONCOLOGY SURGICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JARMAUR STALLINGS (PRACTICE MANAGER)
(706) 737-7922
Entity
Organization
Contact information
Practice address
2320 WRIGHTSBORO RD, AUGUSTA, GA 30904-6233
(706) 737-7922
(706) 737-7968
Mailing address
2320 WRIGHTSBORO RD, AUGUSTA, GA 30904-6233
(706) 737-7922
(706) 737-7968
Taxonomy
Speciality
Code
Description
License number
State
2086X0206X
Surgical Oncology Physician
Primary
029298
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000349907B
—
GA
05
—
GP3922
—
SC
Enumeration date
11/09/2009
Last updated
02/03/2010
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