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NPI Code Detail

MEDICARE: RADIATION ONCOLOGY OF COLUMBUS PC

MEDICARE: RADIATION ONCOLOGY OF COLUMBUS PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12085R0001XRadiation Oncology PhysicianGA

General Provider Information

NPI Number : 1104827971
Entity Type Code : Organization
Provider Name (Legal Business Name) : RADIATION ONCOLOGY OF COLUMBUS PC
Provider Business Mailing Address
First Line : PO BOX 2003
Second Line :
City : COLUMBUS
State : GA
Zip : 31902-2003
Country : US
Telephone Number : 706-653-1102
Fax Number : 706-653-1162
Provider Business Practice Location Address
First Line : 1831 5TH AVE
Second Line :
City : COLUMBUS
State : GA
Zip : 31904-8915
Country : US
Telephone Number : 706-571-1050
Fax Number : 706-660-2585
Authorized Official
Title or Position : PRESIDENT
Name : DOUGLAS F CIUBA
Credential : MD
Telephone Number : 706-571-1050
Provider Enumeration Date : 08/03/2005
Last Update Date : 07/21/2022

Similar Medicare Providers

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1508863119 — DR. SHEREE WILSON TOLBERT PHARMD
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1427058502 — DOUGLAS F CIUBA MD
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1538156187 — KELLY J. MANAHAN MD
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1457323909 — KENNETH L SMITH MD
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