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BLUE RIDGE RADIATION ONCOLOGY PA NPI 1508823568


NPI Information

NPI: 1508823568
Provider Name: BLUE RIDGE RADIATION ONCOLOGY PA
Classification: Radiology - 2085R0001X
Entity Type: Organization

Specialization: Radiation Oncology

Address:
2000 E GREENVILLE ST
ANDERSON, SC
ZIP 29621
Phone: (864) 512-4600
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BLUE RIDGE RADIATION ONCOLOGY PA is a radiation oncology radiology in Anderson, SC. The provider is a radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. BLUE RIDGE RADIATION ONCOLOGY PA NPI is 1508823568. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2000 E GREENVILLE ST
ANDERSON, SC
ZIP 29621-580
Phone: (864) 512-4600
Fax: (864) 512-4621

The provider's authorized official is William V Tomlinson .
The authorized official title is Md and has the following contact phone number (864) 512-4600.

The enumeration date for this NPI number is 4/26/2006 and was last updated on 1/10/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085R0001XRadiologyRadiation Oncology11136SOUTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1S296510MEDICAIDSOUTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.