Organization
VALDOSTA BLOOD AND CANCER CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NAGENDER MANKAN MD (OWNER)
(229) 259-4616
Entity
Organization
Contact information
Practice address
2501 N PATTERSON ST, PEARLMAN COMPREHENSIVE CANCER CENTER, VALDOSTA, GA 31602-1735
(229) 259-4616
Mailing address
1172 OLD MEADOW RD, VALDOSTA, GA 31605-7938
(229) 232-4449
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
057887
GA
Other
Enumeration date
06/30/2008
Last updated
06/30/2008
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