Organization · Type 2 NPI

Southeast Cancer Network, Inc

Hematology & Oncology Physician · Montgomery, AL

NPI number 1013140904 Active

Practice location

1758 Park Pl, Suite 301
Montgomery, AL 36106-1127

Call (205) 366-9740 Map

Fax (205) 344-9992

Mailing address

1400 Afflink Pl, Suite 100
Tuscaloosa, AL 35406-2289

Specialties and licenses

TaxonomyCodeLicense
Hematology & Oncology Physician Primary 207RH0003XNone listed

Hematology & Oncology Physician: An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

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About NPI 1013140904

Southeast Cancer Network, Inc's National Provider Identifier is 1013140904, issued on Aug 26, 2009. The primary taxonomy on file is Hematology & Oncology Physician (207RH0003X), and the practice location is in Montgomery, AL. The record was last updated on Aug 26, 2009.