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Therapeutic Radiation Oncology, Pc
Radiation Oncology Physician in Fayetteville, Georgia
NPI 1629019534

Therapeutic Radiation Oncology, Pc is a Radiation Oncology Physician based in Riverdale, GA and is specialized in Radiation Oncology. Therapeutic Radiation Oncology, Pc practices in Fayetteville, GA. The NPI Number for Therapeutic Radiation Oncology, Pc is 1629019534 and holds a License No. (Georgia).

The current practice location address for Therapeutic Radiation Oncology, Pc is 1255 Highway 54 W, Fayetteville, GA and can be reached out via phone at 770-719-5850 and via fax at 770-719-5849.

Location: 1255 Highway 54 W, Fayetteville, GA, 30274-2531
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1629019534
Provider Name
Therapeutic Radiation Oncology, Pc
Credential
Provider Entity Type
Organization
Address
1255 Highway 54 W, Fayetteville, GA, 30274-2531
Phone Number
770-719-5850
Fax Number
770-719-5849
Provider Enumeration Date
06/10/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
300021609A 05 GA
1629019534 01 GA NPI
institution
Provider Business Practice Location Address Details
Address
1255 Highway 54 W
City
Fayetteville
State
Georgia
Zip
30214-4526
Phone Number
770-719-5850
Fax Number
770-719-5849
person
Provider Business Mailing Address Details
Address
1255 Highway 54 W
City
Fayetteville
State
Georgia
Zip
30214-4526
Phone Number
770-719-5850
Fax Number
770-719-5849
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Radiation Oncology
Taxonomy
2085R0001X
License No.
(Georgia)
Definition
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
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