Organization
RADIOSURGICAL CENTER OF MEMPHIS, L.P.
Active
Other names
RADIOSURGICAL CENTER OF MEMPHIS, L.P.
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN WELLHAUSEN (ADMINISTRATOR)
(901) 726-6444
Entity
Organization
Contact information
Practice address
1265 UNION AVE, MEMPHIS, TN 38104-3415
(901) 726-6444
(901) 726-6145
Mailing address
1265 UNION AVE, MEMPHIS, TN 38104-3415
(901) 726-6444
(901) 726-6145
Taxonomy
Speciality
Code
Description
License number
State
2471R0002X
Radiation Therapy Radiologic Technologist
Primary
—
—
261QA1903X
Ambulatory Surgical Clinic/Center
0000000074
TN
Other
Enumeration date
03/22/2007
Last updated
11/22/2021
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