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

Tidewater Radiation Services, LLC

Organization Radiation Oncology Physician · NPI 1801289392

Tidewater Radiation Services, LLC is a Radiation Oncology Physician in Elizabeth City, North Carolina. Licensed in North Carolina. Registered with an NPI since 2015.

Licensed in
NC
In the registry since
2015
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1144 N Road St
Elizabeth City, NC 27909-3473
Phone: (252) 384-4122
Fax: (252) 384-4220
Show map & directions

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

Specialties & licences

Radiation Oncology Physician (primary) Taxonomy 2085R0001X · Licence 2013-00861 (NC)

Record details

NPI number1801289392
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Janete Mills — Owner · (252) 384-4122
NPI enumeratedMarch 9, 2015
Last updated in NPPESMarch 9, 2015
Mailing addressPo Box 31476, Richmond, VA 23294-1476