Organization
BROAD RIVER ONCOLOGY LLC
Active
Other names
New River Cancer Center
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS MCCRACKEN (CHAIRMAN OF THE BOARD)
(843) 273-7980
Entity
Organization
Contact information
Practice address
122 OKATIE CENTER BLVD N, BLUFFTON, SC 29909-3750
(843) 273-7980
(843) 273-7981
Mailing address
18201 VON KARMAN AVE STE 600, IRVINE, CA 92612-1176
(800) 544-3215
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
—
—
Other
Enumeration date
08/21/2020
Last updated
08/21/2020
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