OrganizationActive
Institute for Radiation Therapy,inc.
NPI 1093769945 · Radiation Oncology Physician · Riverdale, GA
Provider details
- NPI number
- 1093769945
- Entity type
- Organization
- Primary specialty
- Radiation Oncology PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Nelda Champagne, Billing Supervisor
Practice location
255 Professional Ct
Riverdale, GA 30274-2531
Phone: (770) 907-0554
Fax: (770) 997-8449
Mailing address
255 Professional Ct
Riverdale, GA 30274-2531
Registry dates
- Enumerated
- 2006-05-22
- Last updated
- 2008-04-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.