Healthcare Provider Details

I. General information

NPI: 1043041767
Provider Name (Legal Business Name): AMERICAN ONCOLOGY PARTNERS, P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/13/2024
Last Update Date: 08/13/2024
Certification Date: 08/13/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 1ST ST STE 410
MACON GA
31201-8306
US

IV. Provider business mailing address

PO BOX 749482
ATLANTA GA
30374-9482
US

V. Phone/Fax

Practice location:
  • Phone: 478-743-7068
  • Fax:
Mailing address:
  • Phone: 855-963-2100
  • Fax: 813-321-1296

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. RYAN K OLSON
Title or Position: OWNER/PRESIDENT
Credential: MD
Phone: 239-318-9284