# CANCER CENTER OF DAVIDSON COUNTY, LLC

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

## Provider details

- **NPI number:** 1831331453
- **Authorized official:** MR. SCOTT KREWSON CPA (BUSINESS ADMINSTRATOR)
- **Authorized official phone:** (336) 713-6526

## Contact information

- **Practice address:** 107 W MEDICAL PARK DR, DEPARTMENT OF RADIATION ONCOLOGY, LEXINGTON, NC 27292-6851
- **Practice address phone:** (336) 238-1678
- **Mailing address:** 107 W MEDICAL PARK DR, DEPARTMENT OF RADIATION ONCOLOGY, LEXINGTON, NC 27292-6851
- **Mailing address phone:** (336) 238-1678

## Taxonomy

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

## Other

- **Enumeration date:** 03/27/2009
- **Last updated:** 04/01/2009