BLUE RIDGE RADIATION ASSOCIATES, PA - NPI 1003356171

Q: What is the provider's specialty?

The provider's specialty is Radiology with taxonomy code 2085R0001X and a focus in Radiation Oncology.

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About Blue Ridge Radiation Associates, Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BLUE RIDGE RADIATION ASSOCIATES, PA (NPI 1003356171) is a healthcare organization registered as a radiation oncology in Anderson, South Carolina and active in the NPI registry since March 2017. The organization lists Leander Cannick, Owner, as its authorized official.

NPPES Registry Identity

NPI1003356171

Entity TypeOrganization

Primary Taxonomy2085R0001X

Legal Business NameBLUE RIDGE RADIATION ASSOCIATES, PA

Location Address2000 E GREENVILLE STAnderson, SC 29621-1580

Mailing AddressPo Box 6187Anderson, SC 29623-6187 · (512) 583-0205 · Fax (512) 583-2001

Phone(864) 512-4600

Fax(864) 512-4621

Organization SubpartNo

Authorized OfficialLeander CannickOwner · (843) 437-7892

Enumeration DateMarch 8, 2017

✔ NPI 1003356171 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Radiation OncologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0001X

Definition

A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.

2000 E GREENVILLE ST, Anderson, SC 29621

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP