Organization · Type 2 NPI

Montgomery Cancer Center, LLC

Hematology & Oncology Physician · Selma, AL

NPI number 1962652180 Active

Practice location

1023 Medical Center Pkwy, Suite 110
Selma, AL 36701-6780

Mailing address

4145 Carmichael Rd
Montgomery, AL 36106-2803

Specialties and licenses

TaxonomyCodeLicense
Hematology & Oncology Physician Primary 207RH0003XNone listed
Medical Oncology Physician 207RX0202XNone listed
Radiation Oncology Physician 2085R0001XNone 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.

27 other providers at this address

About NPI 1962652180

Montgomery Cancer Center, LLC's National Provider Identifier is 1962652180, issued on Sep 24, 2008. The primary taxonomy on file is Hematology & Oncology Physician (207RH0003X), and the practice location is in Selma, AL. The record was last updated on Sep 24, 2008.