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General NPI Number Information
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NPI Number | 1912177239
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Entity Type | Organization
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Legal Business Name | SOUTH CAROLINA CANCER SPECIALIST, P.A.
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Dates
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Enumeration Date | 03/03/2008
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Last Update Date | 12/12/2025
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Provider Practice Location Address
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Address Line | 45 HOSPITAL CENTER CMNS STE 200
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City | HILTON HEAD ISLAND
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State | SC
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Zip | 29926-2837
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Country | US
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Telephone | 843-689-2895
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Fax | 843-689-9270
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Provider Business Mailing Address
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Address Line | 836 E 65TH ST STE 22
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City | SAVANNAH
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State | GA
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Zip | 31405-4493
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Country | US
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Telephone | 912-819-2146
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Fax | 912-819-3320
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Authorized Official
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Title or Position | NETWORK CREDENTIALING COORDINATOR
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Name | YVETTA P LEE
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Credential |
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Telephone | 912-819-2146
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number |
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License Number State |
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