Organization
PINEVILLE RADIATION THERAPY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SCOTT J MORONEY (VICE PRESIDENT)
(704) 355-9320
Entity
Organization
Contact information
Practice address
10650 PARK RD, CHARLOTTE, NC 28210-8407
(704) 355-2736
(704) 355-1865
Mailing address
10650 PARK RD, CHARLOTTE, NC 28210-8407
Taxonomy
Speciality
Code
Description
License number
State
261QX0203X
Radiation Oncology Clinic/Center
Primary
—
NC
Other
Enumeration date
08/26/2008
Last updated
08/26/2008
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