Organization
WACCAMAW ONCOLOGY PHYSICIANS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEANNE OWENS (CREDENTIALING COORDINATOR)
(843) 527-3428
Entity
Organization
Contact information
Practice address
2405 N FRASER ST, GEORGETOWN, SC 29440-7764
(843) 545-7274
(843) 545-8315
Mailing address
2405 N FRASER ST, PO BOX 1539, GEORGETOWN, SC 29440-7764
(843) 545-7274
(843) 545-8315
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
—
—
Other
Enumeration date
12/12/2011
Last updated
12/12/2011
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