Organization · Type 2 NPI

Tidewater Radiation Services, LLC

Radiation Oncology Physician · Elizabeth City, NC

NPI number 1801289392 Active

Practice location

1144 N Road St
Elizabeth City, NC 27909-3473

Fax (252) 384-4220

Mailing address

PO Box 31476
Richmond, VA 23294-1476

Specialties and licenses

TaxonomyCodeLicense
Radiation Oncology Physician Primary 2085R0001X2013-00861 (NC)

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.

78 other providers at this address

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About NPI 1801289392

Tidewater Radiation Services, LLC's National Provider Identifier is 1801289392, issued on Mar 9, 2015. The primary taxonomy on file is Radiation Oncology Physician (2085R0001X), and the practice location is in Elizabeth City, NC. The record was last updated on Mar 9, 2015.