Organization Name: | GEORGIA CANCER SPECIALISTS I PC |
NPI Number: | 1134134935 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | WENDY HAWKE (C.O.O.) |
Mailing Address: | 624 W Martin Luther King Jr Drive Milledgeville |
State: | GA US |
Postal Code: | 310612787 |
Phone Number: | 4784531806 |
Fax Number: | 4784531807 |
NPI Enumeration Date: | 07/30/2006 |
NPI Last Update Date: | 02/20/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207RH0003X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Internal Medicine |
Taxonomy Specialization: | Hematology & Oncology |
Taxonomy 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. |