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SOUTHEAST CANCER NETWORK INC NPI 1609072537


NPI Information

NPI: 1609072537
Provider Name: SOUTHEAST CANCER NETWORK, INC

Other Name: CANCER CARE CENTER OF DEMOPOLIS

Classification: Internal Medicine - 207RH0003X
Entity Type: Organization

Specialization: Hematology & Oncology

Address:
105 HIGHWAY 80 E.
DEMOPOLIS, AL
ZIP 36732
Phone: (205) 366-9740
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SOUTHEAST CANCER NETWORK, INC is a hematology and oncology internal medicine in Demopolis, 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 1609072537. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Cancer Care Center Of Demopolis.

The provider's business location address is:

105 HIGHWAY 80 E.
DEMOPOLIS, AL
ZIP 36732
Phone: (205) 366-9740

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 6/26/2007 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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RH0003XInternal MedicineHematology & OncologyYes
22085R0001XRadiologyRadiation OncologyX

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

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