Organization · Type 2 NPI

Proton International Alabama, LLC

Radiation Oncology Clinic/Center · Birmingham, AL

NPI number 1649736752 Active

Practice location

400 20th Street South
Birmingham, AL 35233

Call (630) 649-4060 Map

Mailing address

922 Hawkhorn Ct
Alpharetta, GA 30005-4358

Specialties and licenses

Taxonomy	Code	License
Radiation Oncology Physician	2085R0001X	None listed
Clinic/Center	261Q00000X	None listed
Radiation Oncology Clinic/Center Primary	261QX0203X	None listed

Radiation Oncology Clinic/Center: Definition to come...

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NPI record

NPI: 1649736752
Entity type: Organization (Type 2)
Issued: Feb 13, 2019
Last updated: Dec 21, 2021
Status: Active

Other names

<unavail>
Proton International at Uab · doing business as
Proton International at Uab · doing business as
Uab Proton Center · doing business as

Authorized official

Mr. Charles Yoo
Board Member
(630) 649-4060

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1649736752

Proton International Alabama, LLC's National Provider Identifier is 1649736752, issued on Feb 13, 2019. The primary taxonomy on file is Radiation Oncology Clinic/Center (261QX0203X), and the practice location is in Birmingham, AL. The record was last updated on Dec 21, 2021.