MEDICARE: CENTRAL GEORGIA CANCER CARE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336C0003X	Community/Retail Pharmacy

General Provider Information

NPI Number	:	1902134810
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CENTRAL GEORGIA CANCER CARE

Provider Business Mailing Address
First Line	:	114 SUTHERLIN DR STE C-2
Second Line	:
City	:	WARNER ROBINS
State	:	GA
Zip	:	31088-2265
Country	:	US
Telephone Number	:	478-287-6927
Fax Number	:	478-741-1354

Provider Business Practice Location Address
First Line	:	114 SUTHERLIN DR
Second Line	:	SUITE C-2
City	:	WARNER ROBINS
State	:	GA
Zip	:	31088-2259
Country	:	US
Telephone Number	:	478-287-6927
Fax Number	:	478-328-9899

Authorized Official
Title or Position	:	PHARMACIST IN CHARGE
Name	:	BRENDA HAMMOCK
Credential	:	RPH
Telephone Number	:	478-287-6927

Provider Enumeration Date	:	12/04/2009
Last Update Date	:	05/12/2026

Similar Medicare Providers

1235432519 — MRS. AMANDA KNAUER HALE PA-C
Practice Location Address:

114 SUTHERLIN DR STE 1C
WARNER ROBINS, GA
31088-2259

Practice Phone: 478-287-6144
Practice Fax:

1295117653 — DR. VERONICA L SUDEKUM MD
Practice Location Address:

114 SUTHERLIN DR # C-1
WARNER ROBINS, GA
31088-2259

Practice Phone: 478-287-6144
Practice Fax:

1114531050 — MARINA ELEA GARCIA MACK BS
Practice Location Address:

225 SMITHVILLE CHURCH RD STE 1100
WARNER ROBINS, GA
31088-9097

Practice Phone: 800-832-9419
Practice Fax:

1184362758 — BENJAMIN TYLER FOWLER BCBA
Practice Location Address:

311 MARGIE DR
WARNER ROBINS, GA
31088-7818

Practice Phone: 404-410-7600
Practice Fax:

1770974594 — CANDACE MICHELE GATES NP
Practice Location Address:

130 BYRD WAY
WARNER ROBINS, GA
31088-8937

Practice Phone: 478-922-9136
Practice Fax: 478-923-6846

1750219549 — SOUTHERN PRIMARY CARE, LLC
Practice Location Address:

101 WILLIE LEE PKWY STE 400
WARNER ROBINS, GA
31088-9245

Practice Phone: 478-477-0966
Practice Fax: 478-254-3146

Directions to “CENTRAL GEORGIA CANCER CARE ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.