NPI: 1063434272
Provider Name: NORTHSIDE RADIATION ONCOLOGY PC
Former Legal Business Name: THOMAS W. PHILLIPS, M.D., P.C.
Classification: Radiology - 2085R0001X
Entity Type: Organization
Specialization: Radiation Oncology
CLIA Number: 11D2193705
Address:
1000 JOHNSON FERRY RD NE
NORTHSIDE HOSPITAL CANCER CENTER
ATLANTA, GA
ZIP 30342
Phone: (404) 851-8850
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NORTHSIDE RADIATION ONCOLOGY PC is a radiation oncology radiology in Atlanta, GA. 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. NORTHSIDE RADIATION ONCOLOGY PC NPI is 1063434272. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Thomas W. Phillips, M.d., P.c..
The provider's business location address is:
1000 JOHNSON FERRY RD NE
NORTHSIDE HOSPITAL CANCER CENTER
ATLANTA, GA
ZIP 30342-606
Phone: (404) 851-8850
Fax: (404) 851-6010
The provider's authorized official is Thomas W Phillips .
The authorized official title is President and has the following contact phone number (404) 851-8850.
The CLIA number assigned to this NPI record is 11D2193705 - other with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 7/24/2006 and was last updated on 8/4/2011.