VIDALIA REGIONAL CANCER CENTER – NPI #1417115817
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

VIDALIA REGIONAL CANCER CENTER is a provider located in VIDALIA, GA. NPPES has assigned the NPI number 1417115817 to VIDALIA REGIONAL CANCER CENTER on June 02, 2008. 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

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 VIDALIA REGIONAL CANCER CENTER below.

NPI Profile for
VIDALIA REGIONAL CANCER CENTER

NPI Number
1417115817
Enumeration Date

(more than 18 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
VIDALIA REGIONAL CANCER CENTER
Primary location
1707 MEADOWS LN
SUITE C
VIDALIA, GA 30474-7200
Phone: (912) 538-7777 Fax: (912) 538-7070
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
TONY O'STEEN
CONTROLLER
Phone: (912) 538-5857
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 060835

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.