Southeast Georgia Hematology/Oncology Assoc.

Primary specialty

Oncology Clinic/CenterTaxonomy code 261QX0200X

Legal business name

SOUTHEAST GEORGIA HEMATOLOGY/ONCOLOGY ASSOC.

Practice address

1111 Glynco Pkwy
Suite 500
Brunswick, GA 31525-7921

Phone

(912) 261-0080

Fax

(912) 261-0206

NPI assigned

Jul 30, 2006

Last updated

May 14, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Judy L Marshall

Title

Administrator

Phone

(912) 261-0080

Specialties & licenses 1

Addresses

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Duane P. Moores, M.D.

  • Hematology & Oncology Physician
  • Brunswick, GA
  • NPI 1598755191
  NPD
• Antonio Moran Jr., M.D.

  • Hematology & Oncology Physician
  • Brunswick, GA
  • NPI 1396735908
  NPD
• Elizabeth Y Fletcher, P.A.

  • Medical Physician Assistant
  • St Simons Island, GA
  • NPI 1104064278
  NPD (past)
• Nancy J Warner, P.A.-C

  • Medical Physician Assistant
  • Brunswick, GA
  • NPI 1851342356
  NPD (past)
• Lisa J Wolf, PAC

  • Medical Physician Assistant
  • Albany, NY
  • NPI 1467422089
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210723200000",
    "number": "1083629877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 GLYNCO PKWY",
            "address_2": "SUITE 500",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315257921",
            "telephone_number": "912-261-0080",
            "fax_number": "912-261-0206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 GLYNCO PKWY",
            "address_2": "SUITE 500",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315257921",
            "telephone_number": "912-261-0080",
            "fax_number": "912-261-0206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEAST GEORGIA HEMATOLOGY/ONCOLOGY ASSOC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2008-05-14",
        "status": "A",
        "authorized_official_last_name": "MARSHALL",
        "authorized_official_first_name": "JUDY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "912-261-0080",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QX0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• South Georgia Psychological Services PC
• South Port Dentistry
• Southeast Eye Laser Surgery Center
• Southeast Georgia Health System, Inc. (Southeast Georgia Health System - Brunswick Campus)
• Southeast Georgia Health System, Inc.
• Southeast Georgia Open MRI LLC
• Southeast Georgia Urology Associates PC
• Southeast Lung & Critical Care Specialists
• Southeast Lung & Critical Care Specialists, PC (Southeast Lung Associates)
• Southeast Second Chance, Inc

• Oncology Clinic/Center in Brunswick, GA
• Providers in Brunswick, GA by specialty
• Oncology Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.