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EAST GEORGIA CANCER CLINIC
NPI 1720499304
Internal Medicine - Hematology & Oncology in Statesboro, GA

Active since May 16, 2014
1601 FAIR RD, #900, STATESBORO, GA 30458(912) 871-8000 Get Directions Write a Review

NPPES record last updated: May 17, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About East Georgia Cancer Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EAST GEORGIA CANCER CLINIC (NPI 1720499304) is a healthcare organization registered as a hematology & oncology in Statesboro, Georgia and active in the NPI registry since May 2014. The organization lists Harsh Bhushan, Secretary, as its authorized official.

NPPES Registry Identity

NPI1720499304
Entity TypeOrganization
Primary Taxonomy207RH0003X
Legal Business NameEAST GEORGIA CANCER CLINIC
Location Address1601 FAIR RD, #900Statesboro, GA 30458-1698
Mailing Address1601 Fair Rd, #900Statesboro, GA 30458
Phone(912) 871-8000
Organization SubpartNo
Authorized OfficialHarsh BhushanSecretary · (912) 871-8000
Enumeration DateMay 16, 2014
Last NPPES UpdateMay 17, 2014
✔ NPI 1720499304 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License✔ Licensed in GA · 51780
Definition
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.
1601 FAIR RD, Statesboro, GA 30458
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Other Identifiers 2

Medicaid000958823GA
Medicare UPINH43596GA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

COTTON RIDGE PHYSICAL THERAPY LLC
Physical Therapist
1601 FAIR RD, SUITE 100
STATESBORO, GA 30458
Bulloch County (912) 681-7907
LAURIE MICHELLE COLYER PT
Physical Therapist
1601 FAIR RD, SUITE 100
STATESBORO, GA 30458
Bulloch County (912) 681-7860
EAST GEORGIA ORTHOPEDIC CENTER, PC.
Specialist
1601 FAIR RD, SUITE 300
STATESBORO, GA 30458
Bulloch County (912) 871-2563
JOHN EDWARD KIMES PT
Physical Therapist
1601 FAIR RD, SUITE 100
STATESBORO, GA 30458
Bulloch County (912) 681-7907
CHRISTY N BYCZKOSKI FNP
Nurse Practitioner (Family)
1601 FAIR RD, SUITE 400
STATESBORO, GA 30458
Bulloch County (912) 871-8900
MEDICAL DIAGNOSTICS OF STATESBORO LLC
Clinic/Center (Radiology)
1601 FAIR RD, SUITE 1100
STATESBORO, GA 30458
Bulloch County (912) 681-2848
EAST GEORGIA CANCER CENTER
Internal Medicine (Hematology & Oncology)
1601 FAIR RD, #900
STATESBORO, GA 30458
Bulloch County (912) 871-8000
ANDREW V CICHELLI MD INC
Internal Medicine (Pulmonary Disease)
1601 FAIR RD, SUITE 600
STATESBORO, GA 30458
Bulloch County (912) 681-4911

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is East Georgia Cancer Clinic's NPI number?

The NPI number for East Georgia Cancer Clinic is 1720499304. It was assigned to this organization in the NPPES registry on May 16, 2014.

Where is East Georgia Cancer Clinic located?

East Georgia Cancer Clinic is located at 1601 Fair Rd #900, Statesboro, GA 30458. The listed phone number is (912) 871-8000.

What is East Georgia Cancer Clinic's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

When was this NPI record last updated?

The NPPES record for East Georgia Cancer Clinic was last updated on May 17, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.