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Organization

GREENSBORO RADIATION ONCOLOGISTS PA

Active
Other names
PIEDMONT RADIATION ONCOLOGISTS, PA
Organization subpart
No

Provider details

NPI number
Authorized official
MATTHEW A MANNING M.D. (PRESIDENT)
(336) 274-9617
Entity
Organization

Contact information

Practice address
501 N ELAM AVENUE, GREENSBORO, NC 27403-1118
(336) 832-1100
(336) 832-0770
Mailing address
200 QUEENS RD STE 400, CHARLOTTE, NC 28204-3264
(704) 765-2578
(704) 333-3397

Taxonomy

Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
890167B
NC
Enumeration date
05/17/2006
Last updated
12/06/2023
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