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Organization
DYERSBURG RADIATION ONCOLOGY CENTER, L.L.C.
Active
Organization
DYERSBURG RADIATION ONCOLOGY CENTER, L.L.C.
Active
Other names
Cancer Care Center of Dyersburg
Organization subpart
No
Provider details
NPI number
Authorized official
ROBIN CAIN HARDIN (CFO)
(731) 668-1668
Entity
Organization
Contact information
Practice address
440 WILKINSON DR., DYERSBURG, TN 38024-0000
(731) 285-2211
(731) 285-8222
Mailing address
322 HOSP. BLVD., JACKSON, TN 38305-2079
(731) 668-1668
(731) 668-5801
Taxonomy
Speciality
Code
Description
License number
State
261QX0203X
Radiation Oncology Clinic/Center
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3720567
—
TN
Enumeration date
03/23/2007
Last updated
01/09/2019
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