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Organization

ONCOLOGY MEDICAL CENTER PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JAN OSTA (OFFICE MANAGER)
(912) 265-1212
Entity
Organization

Contact information

Practice address
3226 G HAMPTON AVE, BRUNSWICK, GA 31520-4251
(912) 265-1212
(912) 265-2859
Mailing address
3226 G HAMPTON AVE, BRUNSWICK, GA 31520-4251
(912) 265-1212
(912) 265-2859

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
015631
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000069297A
GA
Enumeration date
07/20/2005
Last updated
03/04/2010
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