Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Therapeutic Radiation Oncology, PC

Organization Radiation Oncology Physician · NPI 1629019534

Therapeutic Radiation Oncology, PC is a Radiation Oncology Physician in Fayetteville, Georgia. Works from 3 locations. Licensed in Georgia.

Licensed in
GA
In the registry since
2006
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1255 Highway 54 W
Fayetteville, GA 30214-4526
Phone: (770) 719-5850
Fax: (770) 719-5849
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 745 Poplar Rd, Newnan, GA 30265-1618 — (770) 400-4700
  • 1133 Eagles Landing Pkwy, Stockbridge, GA 30281-5085 — (678) 251-1099

Specialties & licences

Radiation Oncology Physician (primary) Taxonomy 2085R0001X (GA)

Record details

NPI number1629019534
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nelda Champagne — Billing Manager · (770) 907-0554
NPI enumeratedJune 10, 2006
Last updated in NPPESDecember 27, 2021
Certification dateDecember 27, 2021
Mailing address255 Professional Ct, Riverdale, GA 30274-2531

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