BLUE RIDGE RADIATION ONCOLOGY PA NPI 1427238724

NPI Information

BLUE RIDGE RADIATION ONCOLOGY PA is a specialist in Anderson, SC. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. BLUE RIDGE RADIATION ONCOLOGY PA NPI is 1427238724. 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 Victor Tomlinson .
The authorized official title is Physician/owner and has the following contact phone number (864) 512-4600.

The enumeration date for this NPI number is 11/5/2007 and was last updated on 11/5/2007.

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:

Other Identifiers

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

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