Organization
RADIATION ONCOLOGY CENTERS OF THE CAROLINAS, INC.
Active
Parent organization
RADIATION ONCOLOGY CENTERS OF THE CAROLINAS, INC.
Other names
Lake Norman Radiation Oncology Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
RADIATION ONCOLOGY CENTERS OF THE CAROLINAS, INC.
Authorized official
CANDICE ANN BARKER (CREDENTIALING SPECIALIST)
(704) 333-7376
Entity
Organization
Contact information
Practice address
170 MEDICAL PARK RD, SUITE 100, MOORESVILLE, NC 28117-8521
(704) 235-2580
(704) 235-2599
Mailing address
200 QUEENS RD, SUITE 400, CHARLOTTE, NC 28204-3252
(704) 333-7376
(704) 333-3397
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
017JP
BLUE CROSS
NC
01
—
2572429
UNITED HEALTHCARE
—
05
—
5902249
—
NC
05
—
GPO441
—
SC
Enumeration date
06/02/2006
Last updated
12/04/2012
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