Organization
NORTHSIDE RADIATION ONCOLOGY PC
Active
Other names
Thomas W. Phillips, M.D., P.C.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS W PHILLIPS M.D. (PRESIDENT)
(404) 851-8850
Entity
Organization
Contact information
Practice address
1000 JOHNSON FERRY RD NE, NORTHSIDE HOSPITAL CANCER CENTER, ATLANTA, GA 30342-1606
(404) 851-8850
(404) 851-6010
Mailing address
PO BOX 932154, ATLANTA, GA 31193-2154
(404) 851-8850
(404) 851-6010
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
0012112
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00144559H
—
GA
Enumeration date
07/24/2006
Last updated
08/04/2011
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