Waverly Hematology Oncology Pa

LBN: Waverly Hematology Oncology Pa
Waverly Hematology Oncology Pa is an health care organization with primary practice located at 300 Ashville Ave Suite 310, Cary NC 27518-8682. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as the primary health care specialty. Waverly Hematology Oncology Pa can be contacted via phone (919) 233-8585, or through Graham, Mark via phone (919) 233-8585.

Contact Information

Primary practice address
300 Ashville Ave Suite 310 Cary NC 27518-8682
Fax: (919) 233-8566
Website:
Authorized official contact:
Name: Graham, Mark Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 39812 North Carolina

Profile Details

NPI number 1871658443
LBN Legal business name Waverly Hematology Oncology Pa
DBA Doing business as
Authorized official Graham, Mark Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 26th, 2006
Last updated Oct 2nd, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871658443 NPPES
North Carolina Other 138AH BLUE CROSS
North Carolina MEDICAID 89138AH BLUE CROSS
North Carolina Other P00403727 BLUE CROSS

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