Organization
SOUTH ATLANTIC RADIATION ONCOLOGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL ALEX PAPAGIKOS MD (MEMBER)
(910) 662-8440
Entity
Organization
Contact information
Practice address
545 OCEAN HIGHWAY WEST, SUPPLY, NC 28462
(910) 754-4716
Mailing address
PO BOX 3245, WILMINGTON, NC 28406-0245
(910) 251-1839
(910) 251-8286
Taxonomy
Speciality
Code
Description
License number
State
261QX0203X
Radiation Oncology Clinic/Center
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
019PH
BCBS
NC
05
—
5908919
—
NC
Enumeration date
04/26/2007
Last updated
04/20/2021
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