Organization
STATESBORO ONCOLOGY ASSOC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TERESA B HAGAN (OFFICE MANAGER)
(912) 764-3037
Entity
Organization
Contact information
Practice address
27 LESTER RD, STATESBORO, GA 30458-4764
(912) 764-3037
(912) 764-3829
Mailing address
PO BOX 933946, ATLANTA, GA 31193-3946
(770) 693-2622
(770) 693-6039
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
029-0007
GA
Other
Enumeration date
11/05/2007
Last updated
06/09/2008
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