Organization Name: | SOUTH ATLANTIC RADIATION ONCOLOGY, LLC |
NPI Number: | 1467672873 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARTIN BENJAMIN MEYERSON (MEDICAL DIRECTOR) |
Mailing Address: | 545 Ocean Highway West Supply |
State: | NC US |
Postal Code: | 28462 |
Phone Number: | 9107544716 |
Fax Number: | |
NPI Enumeration Date: | 04/26/2007 |
NPI Last Update Date: | 08/19/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QX0203X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Oncology, Radiation |
Taxonomy Definition: |