| Organization Name: | COASTAL RADIATION ONCOLOGY ASSOC. |
| NPI Number: | 1003086216 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | BRUCE GENTRY TRIPP (PRESIDENT) |
| Mailing Address: | 2500 Starling St Ste 107 Brunswick |
| State: | GA US |
| Postal Code: | 315204266 |
| Phone Number: | 9124665100 |
| Fax Number: | 9124665113 |
| NPI Enumeration Date: | 03/04/2008 |
| NPI Last Update Date: | 03/04/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085R0001X |
| License Number: | 028910 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Radiation Oncology |
| Taxonomy 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. |