Provider Type Icon

SOUTHEAST PHYSICIAN NETWORK LLC NPI 1437388196


NPI Information

NPI: 1437388196
Provider Name: SOUTHEAST PHYSICIAN NETWORK, LLC
Classification: Internal Medicine - 207RH0003X
Entity Type: Organization

Specialization: Hematology & Oncology

Address:
1400 AFFLINK PL
SUITE 100
TUSCALOOSA, AL
ZIP 35406
Phone: (205) 366-9740
Get Directions

SOUTHEAST PHYSICIAN NETWORK, LLC 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 PHYSICIAN NETWORK, LLC NPI is 1437388196. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1400 AFFLINK PL
SUITE 100
TUSCALOOSA, AL
ZIP 35406-289
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) 366-1605.

The enumeration date for this NPI number is 7/2/2009 and was last updated on 2/15/2013.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RH0003XInternal MedicineHematology & OncologyYes
22085R0001XRadiologyRadiation OncologyNo
3208800000XUrologyNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.