2406 Cancer Care LLC
Urology in Dublin, GA. Organization (NPI-2).
NPI number1215703046
StatusActive
Last updated in NPPESJun 2, 2026
Details
- NPI
- 1215703046
- Entity type
- Organization (NPI-2)
- Legal business name
- 2406 Cancer Care LLC
- Organization subpart
- Yes
- Enumeration date
- Dec 4, 2023
- Certification date
- Jun 2, 2026
- Last updated
- Jun 2, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208800000X | Urology | – | – | Yes |
Other names
- Central Georgia Urology (Doing Business As)
Practice location
1000 Hillcrest PkwyDublin, GA 31021-4208
Phone 478-334-2800 · Fax 478-334-2800
Mailing address
Po Box 96465Charlotte, NC 28296-0465
Phone 478-272-2255
Authorized official
Erich Graham Randolph
Authorized Official
4042346473
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