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COLUMBUS RADIATION ONCOLOGY ASSOCIATES P.C. NPI 1053591966


NPI Information

NPI: 1053591966
Provider Name: COLUMBUS RADIATION ONCOLOGY ASSOCIATES, P.C.

Doing Business As: TIDWELL CANCER TREATMENT CENTER

Classification: Clinic/Center - 261QX0203X
Entity Type: Organization

Specialization: Oncology, Radiation

Address:
2121 WARM SPRINGS RD STE B
COLUMBUS, GA
ZIP 31904
Phone: (706) 660-8121
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COLUMBUS RADIATION ONCOLOGY ASSOCIATES, P.C. is an oncology and radiation clinic center in Columbus, GA. COLUMBUS RADIATION ONCOLOGY ASSOCIATES, P.C. NPI is 1053591966. The provider is registered as an organization entity type.
The provider Is Doing Business As Tidwell Cancer Treatment Center.

The provider's business location address is:

2121 WARM SPRINGS RD STE B
COLUMBUS, GA
ZIP 31904-954
Phone: (706) 660-8121
Fax: (706) 323-4205

The provider's authorized official is Amy Mccoy .
The authorized official title is Billing Representative and has the following contact phone number (706) 660-8121.

The enumeration date for this NPI number is 11/8/2007 and was last updated on 12/12/2007.


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
1261QX0203XClinic/CenterOncology, Radiation18964GEORGIAYes

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
130BDCTPMEDICARE UPINGEORGIA
2GRP3353OTHERGEORGIAMEDICARE

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

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