Organization
RADIOSURGICAL CENTER OF MEMPHIS, L.P.
Active
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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