Healthcare Provider Details

I. General information

NPI: 1881880961
Provider Name (Legal Business Name): COLUMBIA RADIATION ONCOLOGY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/21/2007
Last Update Date: 09/21/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

509 E BELL ST
MURFREESBORO TN
37130-3059
US

IV. Provider business mailing address

PO BOX 968
SPRINGFIELD TN
37172-0968
US

V. Phone/Fax

Practice location:
  • Phone: 615-396-5530
  • Fax: 615-382-8056
Mailing address:
  • Phone: 615-382-8863
  • Fax: 615-382-8056

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State

VIII. Authorized Official

Name: DR. CHARLES D WENDT
Title or Position: PHYSICIAN / OWNER
Credential: M.D.
Phone: 615-396-5530