| NPI | 1053591966 |
|---|---|
| Doing Business As | TIDWELL CANCER TREATMENT CENTER |
| Entity Type | Organization |
| Authorized Contact | AMY MCCOY Billing Representative 706-660-8121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QX0203X Clinic/Center, Oncology, Radiation (Licence: GA 18964) |
| Enumeration Date | 2007-11-08 |
| Last Update Date | 2007-12-12 |