Organization
CAROLINA SURGICAL ONCOLOGY, PC
Active
Organization
CAROLINA SURGICAL ONCOLOGY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAUL NELSON LUGO MD (PRESIDENT)
(864) 580-8033
Entity
Organization
Contact information
Practice address
1058 BERMUDA RUN, STATESBORO, GA 30458-0858
(864) 580-8033
(864) 349-2145
Mailing address
1 S COLLEGE ST, STATESBORO, GA 30459-1807
(864) 580-8033
(864) 349-2145
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
27417
SC
2086X0206X
Surgical Oncology Physician
Primary
—
—
Other
Enumeration date
07/16/2006
Last updated
10/29/2019
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