Organization
DYERSBURG RADIATION ONCOLOGY CENTER, L.L.C.
Active
Other names
Cancer Care Center of Dyersburg
Organization subpart
No
Provider details
NPI number
Authorized official
ROBIN CAIN HARDIN (CFO)
(731) 668-1668
Entity
Organization
Contact information
Practice address
440 WILKINSON DR., DYERSBURG, TN 38024-0000
(731) 285-2211
(731) 285-8222
Mailing address
322 HOSP. BLVD., JACKSON, TN 38305-2079
(731) 668-1668
(731) 668-5801
Taxonomy
Speciality
Code
Description
License number
State
261QX0203X
Radiation Oncology Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3720567
—
TN
Enumeration date
03/23/2007
Last updated
01/09/2019
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