Organization
NEWCO CANCER SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN JOWERS MA (EXECUTIVE DIRECTOR)
(252) 744-3246
Entity
Organization
Contact information
Practice address
600 MOYE BLVD, GREENVILLE, NC 27834-4300
(252) 744-1888
Mailing address
600 MOYE BLVD, GREENVILLE, NC 27834-4300
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
—
NC
207VX0201X
Gynecologic Oncology Physician
—
NC
2080P0207X
Pediatric Hematology & Oncology Physician
—
NC
2085R0001X
Radiation Oncology Physician
Primary
—
NC
2086X0206X
Surgical Oncology Physician
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5916370
—
NC
Enumeration date
09/03/2010
Last updated
07/08/2011
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