Waccamaw Oncology Physicians, LLC

Primary specialty

Medical Oncology PhysicianTaxonomy code 207RX0202X

Legal business name

WACCAMAW ONCOLOGY PHYSICIANS, LLC

Practice address

2405 N Fraser St
Georgetown, SC 29440-7764

Phone

(843) 545-7274

Fax

(843) 545-8315

NPI assigned

Dec 12, 2011

Last updated

Dec 12, 2011By 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

Deanne Owens

Title

Credentialing Coordinator

Phone

(843) 527-3428

Specialties & licenses 1

Addresses

Practitioners 2

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.

• Jeffrey William Cronk, M.D.

  • Hematology & Oncology Physician
  • Rome, GA
  • NPI 1811956220
  NPD (past)
• Donald E Goodin, MD

  • Hematology & Oncology Physician
  • Glasgow, KY
  • NPI 1922102391
  NPD (past)

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

{
    "created_epoch": "1323648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323648000000",
    "number": "1649548132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2405 N FRASER ST",
            "address_2": "PO BOX 1539",
            "city": "GEORGETOWN",
            "state": "SC",
            "postal_code": "294407764",
            "telephone_number": "843-545-7274",
            "fax_number": "843-545-8315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2405 N FRASER ST",
            "city": "GEORGETOWN",
            "state": "SC",
            "postal_code": "294407764",
            "telephone_number": "843-545-7274",
            "fax_number": "843-545-8315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WACCAMAW ONCOLOGY PHYSICIANS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-12",
        "last_updated": "2011-12-12",
        "status": "A",
        "authorized_official_last_name": "OWENS",
        "authorized_official_first_name": "DEANNE",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "843-527-3428"
    },
    "taxonomies": [
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Waccamaw Family Chiropractic, P.C.
• Waccamaw Gastroenterology, PC
• Waccamaw Hearing Specialist
• Waccamaw Kidney & Hypertension Specialists,P.a.
• Waccamaw Nutrition (Bite Into Wellness)
• Waccamaw Oncology, PA
• Waccamaw Surgical Associates
• Wal-Mart Stores East LP (Walmart Pharmacy 10-0625)
• Wal-Mart Stores East, LP. (Walmart Vision Center 30-0625)
• Walgreen Co (Rite Aid #17121)

• Medical Oncology Physician in Georgetown, SC
• Providers in Georgetown, SC by specialty
• Medical Oncology Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2011; 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.