Southern Rad Onc LLC
NPI #1679199392 in Carrollton, Georgia
Provider Information
- NPI Number
- 1679199392
- Entity Type
- Organization
- Organization Name
- Southern Rad Onc LLC
- Primary Specialty
- Radiology - Radiation Oncology
- Enumeration Date
- Jun 18, 2020
- Last Updated
- Jun 18, 2020
Practice Location
- Address
- 809 SOUTH PARK STREET
- City
- Carrollton
- State
- Georgia
- ZIP Code
- 30117
- Phone
- (678) 801-8746
Authorized Official
- Name
- BRENT ARTHUR HARRIS, MD
- Title
- OWNER
- Phone
- (404) 796-5898
Specialties & Taxonomy Codes
| Specialty |
|---|
| Radiology - Radiation Oncology — Radiation Oncology |
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