Preston Ridge Radiation Partners, LP

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

PRESTON RIDGE RADIATION PARTNERS, LP

Practice address

3400 Old Milton Pkwy
Alpharetta, GA 30005-3710

Phone

(770) 270-5085

Fax

(770) 270-5803

NPI assigned

May 20, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dale Lynn McCord, MD

Title

Ceo

Phone

(770) 270-5085

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1275587735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1475 MONTREAL RD",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300846922",
            "telephone_number": "770-270-5085",
            "fax_number": "770-270-5803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 OLD MILTON PKWY",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300053710",
            "telephone_number": "770-270-5085",
            "fax_number": "770-270-5803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESTON RIDGE RADIATION PARTNERS, LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCCORD",
        "authorized_official_first_name": "DALE",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "770-270-5085",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Alpharetta, GA
• Providers in Alpharetta, GA by specialty
• Specialist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.