Provider Demographics
NPI:1568582864
Name:RADIATION ONCOLOGY ASSOCIATES, PC
Entity Type:Organization
Organization Name:RADIATION ONCOLOGY ASSOCIATES, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:GINNY
Authorized Official - Middle Name:
Authorized Official - Last Name:HARPER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:229-883-0717
Mailing Address - Street 1:425 W 3RD AVE STE 50
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:GA
Mailing Address - Zip Code:31701-1955
Mailing Address - Country:US
Mailing Address - Phone:229-883-0717
Mailing Address - Fax:229-312-2265
Practice Address - Street 1:425 W 3RD AVE STE 50
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:GA
Practice Address - Zip Code:31701-1955
Practice Address - Country:US
Practice Address - Phone:229-883-0717
Practice Address - Fax:229-312-2265
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-30
Last Update Date:2018-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation OncologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA=========OtherFEFERAL TAX ID NUMBER
GAGRP754Medicare ID - Type UnspecifiedMEDICARE PART B