Organization
GEORGETOWN RADIATION THERAPY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH WARD (EXECUTIVE VICE PRESIDENT/CHIEF FINA)
(843) 527-7102
Entity
Organization
Contact information
Practice address
2405 N FRASER ST, GEORGETOWN, SC 29440-6410
(843) 545-5600
Mailing address
PO DRAWER 1718, GEORGETOWN, SC 29442-1718
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
EA212264
—
SC
Enumeration date
08/30/2005
Last updated
11/05/2018
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