SOUTHEAST CANCER NETWORK INC NPI 1013140904

NPI Information

  • NPI: 1013140904
  • Provider Name: SOUTHEAST CANCER NETWORK, INC
  • Classification: Internal Medicine - 207RH0003X
  • Specialization: Hematology & Oncology
  • Entity Type: Organization
  • Doing Business As: CANCER CARE CENTER OF MONTGOMERY JACKSON
  • Address: 1758 PARK PL
    SUITE 301
    MONTGOMERY, AL
    ZIP 36106
  • Phone: (205) 366-9740

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NPI Details

SOUTHEAST CANCER NETWORK, INC is a hematology and oncology internal medicine in Montgomery, AL. The provider is 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. SOUTHEAST CANCER NETWORK, INC NPI is 1013140904. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Cancer Care Center Of Montgomery Jackson.

The provider's business location address is:

1758 PARK PL
SUITE 301
MONTGOMERY, AL
ZIP 36106-127
Phone: (205) 366-9740
Fax: (205) 344-9992

The provider's authorized official is Steve L Mitchell .
The authorized official title is Cfo and has the following contact phone number (205) 366-9740.

The enumeration date for this NPI number is 8/26/2009 and was last updated on 8/26/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RH0003XInternal MedicineHematology & OncologyYes

What is NPI?

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This page was last updated on: 11/21/2025

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