Organization
SOUTHEASTERN SURGICAL ONCOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ARNOLD M CONFORTI M.D. (SURGEON)
(478) 745-3363
Entity
Organization
Contact information
Practice address
800 SPRING ST, MACON, GA 31201-2113
(478) 745-3363
(478) 745-3330
Mailing address
800 SPRING ST, MACON, GA 31201-2113
(478) 745-3363
(478) 745-3330
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
051872
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
GRP3914
MEDICARE GROUP ID
GA
Enumeration date
02/04/2008
Last updated
04/05/2011
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