Organization
CSRA GENERAL AND ONCOLOGY SURGICAL LLC
Active
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
Update your record
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