SOUTH ATLANTIC RADIATION ONCOLOGY LLC NPI 1467672873

NPI Information

NPI: 1467672873
Provider Name: SOUTH ATLANTIC RADIATION ONCOLOGY, LLC
Classification: Clinic/Center - 261QX0203X
Entity Type: Organization

Specialization: Oncology, Radiation

Address:
545 OCEAN HIGHWAY WEST
SUPPLY, NC
ZIP 28462
Phone: (910) 754-4716
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SOUTH ATLANTIC RADIATION ONCOLOGY, LLC is an oncology and radiation clinic center in Supply, NC. SOUTH ATLANTIC RADIATION ONCOLOGY, LLC NPI is 1467672873. The provider is registered as an organization entity type.

The provider's business location address is:

545 OCEAN HIGHWAY WEST
SUPPLY, NC
ZIP 28462
Phone: (910) 754-4716

The provider's authorized official is Michael Alex Papagikos .
The authorized official title is Member and has the following contact phone number (910) 662-8440.

The enumeration date for this NPI number is 4/26/2007 and was last updated on 4/20/2021.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QX0203X	Clinic/Center	Oncology, Radiation		NORTH CAROLINA	Yes

Other Identifiers

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

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	019PH	OTHER	NORTH CAROLINA	BCBS
2	5908919	MEDICAID	NORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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