Healthcare Provider Details

I. General information

NPI: 1831207992
Provider Name (Legal Business Name): RADIATION ONCOLOGY ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/28/2006
Last Update Date: 05/05/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

821 ST. SEBASTIAN WAY BLDG. HK
AUGUSTA GA
30912
US

IV. Provider business mailing address

P.O. BOX 2825 1125 TROUPE STREET
AUGUSTA GA
30914-2825
US

V. Phone/Fax

Practice location:
  • Phone: 706-721-2971
  • Fax: 706-721-7248
Mailing address:
  • Phone: 706-737-4575
  • Fax: 706-731-5289

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2085D0003X
TaxonomyDiagnostic Neuroimaging (Radiology) Physician
License Number017191
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code2085B0100X
TaxonomyBody Imaging Physician
License Number017191
License Number StateGA
# 3
Primary TaxonomyN
Taxonomy Code2085N0700X
TaxonomyNeuroradiology Physician
License Number017191
License Number StateGA
# 4
Primary TaxonomyN
Taxonomy Code2085N0904X
TaxonomyNuclear Radiology Physician
License Number017191
License Number StateGA
# 5
Primary TaxonomyN
Taxonomy Code2085P0229X
TaxonomyPediatric Radiology Physician
License Number017191
License Number StateGA
# 6
Primary TaxonomyN
Taxonomy Code2085R0203X
TaxonomyTherapeutic Radiology Physician
License Number017191
License Number StateGA
# 7
Primary TaxonomyN
Taxonomy Code2085U0001X
TaxonomyDiagnostic Ultrasound Physician
License Number017191
License Number StateGA
# 8
Primary TaxonomyN
Taxonomy Code261QX0200X
TaxonomyOncology Clinic/Center
License Number017191
License Number StateGA
# 9
Primary TaxonomyN
Taxonomy Code261QX0203X
TaxonomyRadiation Oncology Clinic/Center
License Number017191
License Number StateGA
# 10
Primary TaxonomyN
Taxonomy Code261QR0200X
TaxonomyRadiology Clinic/Center
License Number017191
License Number StateGA
# 11
Primary TaxonomyY
Taxonomy Code2085R0001X
TaxonomyRadiation Oncology Physician
License Number017191
License Number StateGA

VIII. Authorized Official

Name: DR. BYRON G. DASHER
Title or Position: MD/PARTNER
Credential: MD
Phone: 706-737-4575