Central Ga Cancer Care

LBN: Central Georgia Cancer Care Pc
Central Ga Cancer Care is an health care organization with primary practice located at 800 1St St Ste 415 , Macon GA 31201-8300. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Central Georgia Cancer Care Pc can be contacted via phone (478) 314-1667, or through Davis, Aaron via phone (478) 743-7068.

Contact Information

Primary practice address
800 1St St Ste 415 Macon GA 31201-8300
Phone: (478) 314-1667
Fax: (478) 743-7068
Website:
Map and Directions
Authorized official contact:
Name: Davis, Aaron PHARMD
Phone: (478) 743-7068

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PHRE009011 Georgia

Profile Details

NPI number 1366551624
LBN Legal business name Central Georgia Cancer Care Pc
DBA Doing business as Central Ga Cancer Care
Authorized official Davis, Aaron PHARMD
Entity Organization
Organization subpart 1 No
Enumeration date Aug 30th, 2006
Last updated Oct 4th, 2016 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366551624 NPPES
Georgia MEDICAID 820880150A
Georgia Other 2016383

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