Organization
INSTITUTE FOR RADIATION THERAPY,INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NELDA H CHAMPAGNE (BILLING SUPERVISOR)
(770) 907-0554
Entity
Organization
Contact information
Practice address
255 PROFESSIONAL CT, RIVERDALE, GA 30274-2531
(770) 907-0554
(770) 997-8449
Mailing address
255 PROFESSIONAL CT, RIVERDALE, GA 30274-2531
(770) 907-0554
(770) 997-8449
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
—
—
Other
Enumeration date
05/22/2006
Last updated
04/20/2008
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