Organization
COLUMBUS RADIATION ONCOLOGY ASSOCIATES, P.C.
Active
Other names
Tidwell Cancer Treatment Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AMY MCCOY (BILLING REPRESENTATIVE)
(706) 660-8121
Entity
Organization
Contact information
Practice address
2121 WARM SPRINGS RD STE B, COLUMBUS, GA 31904-7954
(706) 660-8121
(706) 323-4205
Mailing address
2121 WARM SPRINGS RD STE B, COLUMBUS, GA 31904-7954
(706) 660-8121
(706) 323-4205
Taxonomy
Speciality
Code
Description
License number
State
261QX0203X
Radiation Oncology Clinic/Center
Primary
18964
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
GRP3353
MEDICARE
GA
Enumeration date
11/08/2007
Last updated
12/12/2007
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