Organization
SOUTHEASTERN RADIATION ONCOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN HUGH BRYAN M.D. (PRESIDENT)
(910) 609-6691
Entity
Organization
Contact information
Practice address
1638 OWEN DR, FAYETTEVILLE, NC 28304-3424
(910) 609-6690
(910) 609-6313
Mailing address
PO BOX 41208, FAYETTEVILLE, NC 28309-1208
(910) 609-6691
(910) 609-5398
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7902292
—
NC
Enumeration date
04/13/2006
Last updated
01/10/2008
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