MEDICARE: UNIVERSITY CANCER & BLOOD CENTER LLC

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	261QE0800X	Endoscopy Clinic/Center

General Provider Information

NPI Number	:	1568395523
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNIVERSITY CANCER & BLOOD CENTER LLC

Provider Business Mailing Address
First Line	:	1460 RESURGENCE DR STE B
Second Line	:
City	:	WATKINSVILLE
State	:	GA
Zip	:	30677-7320
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1460 RESURGENCE DR STE B
Second Line	:
City	:	WATKINSVILLE
State	:	GA
Zip	:	30677-7320
Country	:	US
Telephone Number	:	762-356-4785
Fax Number	:

Authorized Official
Title or Position	:	HEMATOLOGY/MEDICAL ONCOLOGY
Name	:	JAMES E SPLICHAL
Credential	:	MD
Telephone Number	:	706-353-2990

Provider Enumeration Date	:	06/08/2026
Last Update Date	:	06/12/2026

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