Organization
GREENSBORO RADIATION ONCOLOGIST, PA
Active
Other names
Triad Cardiac Thoracic Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW A MANNING MD (PRESIDENT)
(336) 832-1100
Entity
Organization
Contact information
Practice address
301 E WENDOVER AVE, STE 411, GREENSBORO, NC 27401-1230
(336) 832-3200
(336) 482-2177
Mailing address
PO BOX 13921, GREENSBORO, NC 27415-3921
(336) 274-4285
(336) 482-2177
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
890167B
—
NC
Enumeration date
07/14/2009
Last updated
07/14/2009
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