Organization
MEDICAL ONCOLOGY ASSOCIATES OF AUGUSTA, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GLENDA K HALL (BUSINESS OFFICE MANAGER)
(706) 722-4245
Entity
Organization
Contact information
Practice address
1348 WALTON WAY, SUITE 6700, AUGUSTA, GA 30901-5104
(706) 722-4245
(706) 722-6652
Mailing address
1348 WALTON WAY, SUITE 6700, AUGUSTA, GA 30901-5104
(706) 722-4245
(706) 722-6652
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
16487
GA
174400000X
Specialist
Primary
46944
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00151951D
—
GA
05
—
00860274B
—
GA
05
—
908726
—
SC
05
—
G46944
—
SC
Enumeration date
12/14/2005
Last updated
08/22/2020
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