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Contact Information

SOUTHERN RAD ONC LLC
809 SOUTH PARK STREET
CARROLLTON, GA30117
 Phone: 678-801-8746
 Fax: 678-801-8746
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Radiation Oncology

2085R0001X 92 Physician/Radiation Oncology
Indicates primary specialty

NPI Profile & details for SOUTHERN RAD ONC LLC · (Female)

NPI # 1679199392
Status Active
Credentials
Entity Individual
Enumeration date 06/18/2020
Last updated 06/18/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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