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TIDEWATER RADIATION SERVICES, LLC

Radiation Oncology

A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.

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Contact Information

TIDEWATER RADIATION SERVICES, LLC
1144 N ROAD ST
ELIZABETH CITY, NC  27909-3473
 Phone: 252-384-4122
 Fax: 252-384-4220
 Website:
 

Specialty

 Taxonomy Code Specialty Code Provider Type

Radiation Oncology

 2085R0001X 92 Physician/Radiation Oncology
Indicates primary specialty

NPI Profile & details for TIDEWATER RADIATION SERVICES, LLC

NPI # 1801289392
LBN Legal business name TIDEWATER RADIATION SERVICES, LLC
Authorized official JANETE MILLS - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 03/09/2015
Last updated 03/09/2015 - About 11 years ago
Identifiers
NC License # 2013-00861
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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