Organization
ROANOKE VALLEY CANCER CENTER INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHANCHAMMA THANNIKKARY M.D. (PRESIDENT)
(252) 537-1717
Entity
Organization
Contact information
Practice address
212 SMITH CHURCH RD, ROANOKE RAPIDS, NC 27870-4914
(252) 537-1717
Mailing address
212 SMITH CHURCH RD, ROANOKE RAPIDS, NC 27870-4914
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
32057
NC
Other
Enumeration date
06/22/2006
Last updated
03/23/2010
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