COASTAL RADIATION ONCOLOGY ASSOC. NPI 1003086216

NPI Information

NPI: 1003086216
Provider Name: COASTAL RADIATION ONCOLOGY ASSOC.
Classification: Radiology - 2085R0001X
Entity Type: Organization

Specialization: Radiation Oncology

Address:
2500 STARLING ST STE 107
BRUNSWICK, GA
ZIP 31520
Phone: (912) 466-5100
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COASTAL RADIATION ONCOLOGY ASSOC. is a radiation oncology radiology in Brunswick, GA. The provider is a radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. COASTAL RADIATION ONCOLOGY ASSOC. NPI is 1003086216. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2500 STARLING ST STE 107
BRUNSWICK, GA
ZIP 31520-266
Phone: (912) 466-5100
Fax: (912) 466-5113

The provider's authorized official is Bruce Gentry Tripp .
The authorized official title is President and has the following contact phone number (912) 554-2100.

The enumeration date for this NPI number is 3/4/2008 and was last updated on 3/4/2008.

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	2085R0001X	Radiology	Radiation Oncology	028910	GEORGIA	Yes

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

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