# RADIATION ONCOLOGY CENTER - ZACHARY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306355102
- **Authorized official:** KENDALL JOHNSON (CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (225) 763-4791

## Contact information

- **Practice address:** 6180 MAIN STREET, STE B, ZACHARY, LA 70791
- **Practice address phone:** (225) 570-1212
- **Practice address fax:** (225) 570-4860
- **Mailing address:** 6180 MAIN STREET, STE B, ZACHARY, LA 70791
- **Mailing address phone:** (225) 570-1212
- **Mailing address fax:** (225) 570-4860

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QX0203X | Radiation Oncology Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/25/2017
- **Last updated:** 09/25/2017