Provider Demographics
NPI:1255465589
Name:DOUGLAS HEMATOLOGY ONCOLOGY ASSOCIATES
Entity Type:Organization
Organization Name:DOUGLAS HEMATOLOGY ONCOLOGY ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:M
Authorized Official - Last Name:HOY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:229-259-4617
Mailing Address - Street 1:PO BOX 3106
Mailing Address - Street 2:
Mailing Address - City:VALDOSTA
Mailing Address - State:GA
Mailing Address - Zip Code:31604-3106
Mailing Address - Country:US
Mailing Address - Phone:229-247-5275
Mailing Address - Fax:229-247-5275
Practice Address - Street 1:200 DOCTORS DR STE 102
Practice Address - Street 2:
Practice Address - City:DOUGLAS
Practice Address - State:GA
Practice Address - Zip Code:31533-2202
Practice Address - Country:US
Practice Address - Phone:912-383-5682
Practice Address - Fax:912-383-5675
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA037838207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & OncologyGroup - Single Specialty