Organization
SATILLA CANCER TREATMENT CENTERS, LLC
Active
Other names
CurePoint
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JACQUELINE LILLICOTCH (CREDENTIALING OFFICER)
(478) 272-2255
Entity
Organization
Contact information
Practice address
2406 BELLEVUE RD, #7, DUBLIN, GA 31021-2842
(478) 272-2255
(478) 275-9134
Mailing address
2406 BELLEVUE RD, #7, DUBLIN, GA 31021-2842
(478) 272-2255
(478) 275-9134
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11D1096814
CLIA
GA
01
—
202G708768
MEDICARE PTAN
GA
05
—
300038888A
—
GA
01
—
DQ2362
RR MCR
GA
Enumeration date
05/17/2007
Last updated
10/19/2011
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