Organization
SATILLA CANCER TREATMENT CENTERS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELINE LILLICOTCH (CREDENTIALING OFFICER)
(478) 272-2255
Entity
Organization
Contact information
Practice address
2406 BELLEVUE AVENUE, #7, DUBLIN, GA 31021-0000
(478) 272-2255
(478) 275-9134
Mailing address
2406 BELLEVUE AVENUE, #7, DUBLIN, GA 31021-0000
(478) 272-2255
(478) 275-9134
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
—
—
2085R0001X
Radiation Oncology Physician
Primary
—
—
Other
Enumeration date
11/20/2009
Last updated
10/02/2012
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