Organization
SOUTH GEORGIA CENTER FOR CANCER CARE, LLC
Active
Other names
South Georgia Center for Cancer Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHAOQIANG LIN (EXECUTIVE VICE PRESIDENT)
(214) 587-4079
Entity
Organization
Contact information
Practice address
27 COACH LEE HILL BLVD., STATESBORO, GA 30458-4764
(912) 764-3037
(912) 764-3829
Mailing address
PO BOX 931884, ATLANTA, GA 31193-1884
(615) 783-1254
(615) 783-1082
Taxonomy
Speciality
Code
Description
License number
State
261QX0203X
Radiation Oncology Clinic/Center
Primary
NONE
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003116257A
—
GA
Enumeration date
05/05/2017
Last updated
04/28/2026
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