Healthcare Provider Details

I. General information

NPI: 1457583452
Provider Name (Legal Business Name): COLUMBUS CANCER TREATMENT CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/10/2009
Last Update Date: 08/10/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2121 WARM SPRINGS RD SUITE B
COLUMBUS GA
31904-7955
US

IV. Provider business mailing address

104 WOODMONT BLVD 500
NASHVILLE TN
37205-2245
US

V. Phone/Fax

Practice location:
  • Phone: 706-660-8121
  • Fax: 706-323-4205
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QX0203X
TaxonomyRadiation Oncology Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. ROBERT RHYMER
Title or Position: COO OF CONTROLLING MEMBER
Credential:
Phone: 615-467-7415