WACCAMAW ONCOLOGY, PA – NPI #1649239989
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

WACCAMAW ONCOLOGY, PA is a provider located in GEORGETOWN, SC. NPPES has assigned the NPI number 1649239989 to WACCAMAW ONCOLOGY, PA on March 23, 2006. 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 WACCAMAW ONCOLOGY, PA below.

NPI Profile for
WACCAMAW ONCOLOGY, PA

NPI Number
1649239989
Enumeration Date

(more than 20 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
WACCAMAW ONCOLOGY, PA
Primary location
2405 N FRASER ST
GEORGETOWN, SC 29440-6410
Phone: (843) 545-7274 Fax: (843) 546-7353
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
DARREN MULLINS
OWNER/PRESIDENT
Phone: (843) 545-7274
Updated
Identifiers

Identifiers for WACCAMAW ONCOLOGY, PA

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDSCGP3475
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)

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.