EAST GEORGIA CANCER CENTER – NPI #1154453058
Internal Medicine

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

Health Care Provider Taxonomy Code for Internal Medicine

EAST GEORGIA CANCER CENTER is a provider located in STATESBORO, GA. NPPES has assigned the NPI number 1154453058 to EAST GEORGIA CANCER CENTER on March 09, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207RH0003X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Hematology & Oncology

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for EAST GEORGIA CANCER CENTER below.

NPI Profile for
EAST GEORGIA CANCER CENTER

NPI Number
1154453058
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
EAST GEORGIA CANCER CENTER
Primary location
1601 FAIR RD
#900
STATESBORO, GA 30458-1698
Phone: (912) 871-8000 Fax: (912) 871-3030
Mailing address
PO BOX 397
STATESBORO, GA 30459-0397
Phone: (912) 871-8000 Fax: (912) 871-3030
Organization Subpart
No
Authorized Official
HARSH BHUSHAN
M.D.
Phone: (912) 871-8000
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RH0003X
- Internal Medicine / Hematology & Oncology (Primary)		 GA 051780

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.