Organization · Type 2 NPI

Carolina Regional Cancer Center LLC

Radiation Oncology Physician · Myrtle Beach, SC

NPI number 1679524714 Active

Practice location

4708 Oleander Drive
Myrtle Beach, SC 29577

Call (843) 449-9415 Map

Fax (843) 449-2160

Mailing address

1419 SE 8th Ter Ste 200
Cape Coral, FL 33990-3213

Specialties and licenses

Taxonomy	Code	License
Radiation Oncology Physician Primary	2085R0001X	None listed

Radiation Oncology Physician: A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.

NPI record

NPI: 1679524714
Entity type: Organization (Type 2)
Issued: May 13, 2006
Last updated: Sep 25, 2023
Status: Active

Other names

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Carolina Regional Cancer Center Inc · former legal business name
Carolina Regional Cancer Center Inc · former legal business name

Authorized official

Shaden Marzouk
President
(239) 931-7254

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1679524714

Carolina Regional Cancer Center LLC's National Provider Identifier is 1679524714, issued on May 13, 2006. The primary taxonomy on file is Radiation Oncology Physician (2085R0001X), and the practice location is in Myrtle Beach, SC. The record was last updated on Sep 25, 2023.