Organization
HENRY RADIATION ONCOLOGY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NELDA H CHAMPAGNE (BILLING SUPERVISOR)
(770) 907-0554
Entity
Organization
Contact information
Practice address
960 HOSPITAL DR, STOCKBRIDGE, GA 30281-7345
(770) 907-0554
(770) 907-9048
Mailing address
960 HOSPITAL DR, STOCKBRIDGE, GA 30281-7345
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
—
GA
Other
Enumeration date
02/03/2010
Last updated
02/03/2010
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