Satilla Cancer Treatment Centers, LLC

NPI #1104033463 in Dublin, Georgia

Provider Information

NPI Number: 1104033463
Entity Type: Organization
Organization Name: Satilla Cancer Treatment Centers, LLC
Primary Specialty: Specialist
Enumeration Date: May 17, 2007
Last Updated: Oct 19, 2011

Practice Location

Address: 2406 BELLEVUE RD
Address 2: #7
City: Dublin
State: Georgia
ZIP Code: 31021-2842
Phone: (478) 272-2255

Authorized Official

Name: MRS. JACQUELINE LILLICOTCH
Title: CREDENTIALING OFFICER
Phone: (478) 272-2255

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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