# PINEVILLE RADIATION THERAPY CENTER, LLC

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

## Provider details

- **NPI number:** 1316194871
- **Authorized official:** MR. SCOTT J MORONEY (VICE PRESIDENT)
- **Authorized official phone:** (704) 355-9320

## Contact information

- **Practice address:** 10650 PARK RD, CHARLOTTE, NC 28210-8407
- **Practice address phone:** (704) 355-2736
- **Practice address fax:** (704) 355-1865
- **Mailing address:** 10650 PARK RD, CHARLOTTE, NC 28210-8407

## Taxonomy

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

## Other

- **Enumeration date:** 08/26/2008
- **Last updated:** 08/26/2008