Organization
CANCER CENTERS OF NORTH CAROLINA, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS GRATES (EXECUTIVE DIRECTOR)
(919) 829-4450
Entity
Organization
Contact information
Practice address
4101 MACON POND RD, RALEIGH, NC 27607
(919) 781-7070
Mailing address
4101 MACON POND RD, RALEIGH, NC 27607
(919) 781-7070
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
—
2085R0001X
Radiation Oncology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
890231N
—
NC
Enumeration date
06/14/2006
Last updated
05/29/2012
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