Organization
WACCAMAW ONCOLOGY, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DARREN EUGENE MULLINS M.D. (OWNER/PRESIDENT)
(843) 545-7274
Entity
Organization
Contact information
Practice address
2405 N FRASER ST, GEORGETOWN, SC 29440-6410
(843) 545-7274
(843) 546-7353
Mailing address
2405 N FRASER ST, GEORGETOWN, SC 29440-6410
(843) 545-7274
(843) 546-7353
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP3475
—
SC
Enumeration date
03/23/2006
Last updated
08/22/2020
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