Organization
COASTAL CANCER CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AARON PEDERSON MD (OWNER)
(912) 350-8490
Entity
Organization
Contact information
Practice address
4700 WATERS AVE, SAVANNAH, GA 31404-6220
(912) 350-8490
Mailing address
PO BOX 13219, DURHAM, NC 27709-3219
(912) 350-8490
(919) 354-2936
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003135119A
—
GA
Enumeration date
12/12/2011
Last updated
05/05/2026
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