Organization
REGIONAL CANCER CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS GRATES (EXECUTIVE DIRECTOR)
(919) 829-4450
Entity
Organization
Contact information
Practice address
1107 S FIFTH ST, SUITE 200, MEBANE, NC 27302-9597
(919) 563-4111
Mailing address
PO BOX 601114, CHARLOTTE, NC 28260-1114
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5908206
—
NC
Enumeration date
10/23/2009
Last updated
05/29/2012
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