Organization
BETHESDA RESOURCES INC
Active
Other names
Bethesda Cancer Center
Organization subpart
No
Provider details
NPI number
Authorized official
CRAIG M WEEKS (VP FINANCE)
(256) 383-3325
Entity
Organization
Contact information
Practice address
1514 E UNION ST, GREENVILLE, MS 38703-3248
(662) 332-6150
(662) 332-4558
Mailing address
505 W LOUISE AVE, MUSCLE SHOALS, AL 35661-1517
(256) 383-3325
(256) 383-5911
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
17137
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09015886
—
MS
Enumeration date
03/06/2007
Last updated
10/10/2008
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