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Organization

PIEDMONT/CAROLINAS RADIATION THERAPY, LLC

Active
Other names
Rock Hill Radiation Therapy Center
Organization subpart
No

Provider details

NPI number
Authorized official
VICKI REICH (ADMINISTRATIVE DIRECTOR)
(803) 366-5183
Entity
Organization

Contact information

Practice address
228 S HERLONG AVE, ROCK HILL, SC 29732-1158
(803) 366-5186
(803) 366-5730
Mailing address
228 S HERLONG AVE, ROCK HILL, SC 29732-1158
(803) 366-5186
(803) 366-5730

Taxonomy

Speciality
Code
Description
License number
State
261QX0203X
Radiation Oncology Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4570234
AETNA
SC
05
GP2130
SC
Enumeration date
08/31/2006
Last updated
04/20/2008
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