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Organization

SOUTH CAROLINA CANCER SPECIALIST, P.A.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
YVETTA P LEE (NETWORK CREDENTIALING COORDINATOR)
(912) 819-2146
Entity
Organization

Contact information

Practice address
45 HOSPITAL CENTER CMNS STE 200, HILTON HEAD ISLAND, SC 29926-2837
(843) 689-2895
(843) 689-9270
Mailing address
836 E 65TH ST STE 22, SAVANNAH, GA 31405-4493
(912) 819-2146
(912) 819-3320

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4225377
NCPDP
SC
01
DA3698
RAILROAD MEDICARE
SC
05
GP3117
SC
05
GP9576
SC
Enumeration date
03/03/2008
Last updated
12/12/2025
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