SOUTHEAST CANCER NETWORK INC NPI 1295807857

NPI Information

  • NPI: 1295807857
  • Provider Name: SOUTHEAST CANCER NETWORK, INC
  • Classification: Internal Medicine - 207RH0003X
  • Specialization: Hematology & Oncology
  • Entity Type: Organization
  • Other Name: CANCER CARE CENTER OF TUSCALOOSA
  • Address: 1410 MCFARLAND BLVD N
    TUSCALOOSA, AL
    ZIP 35406
  • Phone: (205) 345-8208

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NPI Details

SOUTHEAST CANCER NETWORK, INC is a hematology and oncology internal medicine in Tuscaloosa, 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 1295807857. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Cancer Care Center Of Tuscaloosa.

The provider's business location address is:

1410 MCFARLAND BLVD N
TUSCALOOSA, AL
ZIP 35406-209
Phone: (205) 345-8208
Fax: (205) 345-8209

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 11/15/2006 and was last updated on 8/22/2020.

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
22085R0203XRadiologyTherapeutic RadiologyX

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This page was last updated on: 3/30/2025

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