SOUTHERN RAD ONC LLC
NPI 1679199392
Radiology - Radiation Oncology in Carrollton, GA

Active since June 18, 2020
809 SOUTH PARK STREET, CARROLLTON, GA 30117(678) 801-8746(678) 801-8746 Get Directions Write a Review

NPPES record last updated: June 18, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Southern Rad Onc Llc NPPES

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

SOUTHERN RAD ONC LLC (NPI 1679199392) is a healthcare organization registered as a radiation oncology in Carrollton, Georgia and active in the NPI registry since June 2020. The organization lists Brent Arthur Harris, Owner, as its authorized official.

NPPES Registry Identity

NPI1679199392
Entity TypeOrganization
Primary Taxonomy2085R0001X
Legal Business NameSOUTHERN RAD ONC LLC
Location Address809 SOUTH PARK STREETCarrollton, GA 30117
Mailing Address809 South Park StreetCarrollton, GA 30117 · (678) 801-8746 · Fax (678) 801-8746
Fax(678) 801-8746
Organization SubpartNo
Authorized OfficialBrent Arthur HarrisOwner · (404) 796-5898
Enumeration DateJune 18, 2020
NPPES CertifiedJune 18, 2020
NPI 1679199392 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.
809 SOUTH PARK STREET, Carrollton, GA 30117

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

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Southern Rad Onc LLC's NPI number?

The NPI number for Southern Rad Onc LLC is 1679199392. It was assigned to this organization in the NPPES registry on June 18, 2020.

Where is Southern Rad Onc LLC located?

Southern Rad Onc LLC is located at 809 South Park Street, Carrollton, GA 30117. The listed phone number is (678) 801-8746.

What is Southern Rad Onc LLC's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Radiation Oncology, with taxonomy code 2085R0001X.

When was this NPI record last updated?

The NPPES record for Southern Rad Onc LLC was last updated on June 18, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.