Organization
BLUE RIDGE RADIATION ASSOCIATES, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEANDER CANNICK III MD (OWNER)
(843) 437-7892
Entity
Organization
Contact information
Practice address
2000 E GREENVILLE ST, ANDERSON, SC 29621-1580
(864) 512-4600
(864) 512-4621
Mailing address
PO BOX 6187, ANDERSON, SC 29623-6187
(512) 583-0205
(512) 583-2001
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
—
—
Other
Enumeration date
03/08/2017
Last updated
03/08/2017
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