Provider Demographics
NPI:1912944679
Name:SANTEE HEMATOLOGY ONCOLOGY INC
Entity Type:Organization
Organization Name:SANTEE HEMATOLOGY ONCOLOGY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:BILLY
Authorized Official - Middle Name:
Authorized Official - Last Name:CLOWNEY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:803-934-8833
Mailing Address - Street 1:PO BOX 1244
Mailing Address - Street 2:
Mailing Address - City:SUMTER
Mailing Address - State:SC
Mailing Address - Zip Code:29151-1244
Mailing Address - Country:US
Mailing Address - Phone:803-934-8833
Mailing Address - Fax:803-934-0787
Practice Address - Street 1:1105 N LAFAYETTE DR
Practice Address - Street 2:
Practice Address - City:SUMTER
Practice Address - State:SC
Practice Address - Zip Code:29150-2913
Practice Address - Country:US
Practice Address - Phone:803-934-8833
Practice Address - Fax:803-934-0787
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-01
Last Update Date:2009-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC14777207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & OncologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC1486Medicaid
SC4900880001Medicare NSC
SC6958Medicare ID - Type Unspecified