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NORTHWEST ALABAMA CANCER CENTER PC NPI 1760403703

NPI Profile

NPI: 1760403703
Provider Name: NORTHWEST ALABAMA CANCER CENTER PC
Classification: Internal Medicine - 207RX0202X
Entity Type: Organization

Specialization: Medical Oncology

CLIA Number: 01D0302673

Address:
101 DR W H BLAKE JR DR
MUSCLE SHOALS, AL
ZIP 35661
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Phone: (256) 381-1001

NORTHWEST ALABAMA CANCER CENTER PC is a medical oncology internal medicine in Muscle Shoals, AL. The provider is an internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer. NORTHWEST ALABAMA CANCER CENTER PC NPI is 1760403703. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

101 DR W H BLAKE JR DR
MUSCLE SHOALS, AL
ZIP 35661-152
Phone: (256) 381-1001
Fax: (256) 381-3604

The provider's authorized official is James Patrick Daugherty .
The authorized official title is President and has the following contact phone number (256) 381-1001.

The CLIA number assigned to this NPI record is 01D0302673 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 7/23/2006 and was last updated on 7/23/2007.

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
1207RX0202XInternal MedicineMedical OncologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1C34102MEDICARE UPINALABAMA
2E68321MEDICARE UPIN
3H44960MEDICARE UPIN
4G563MEDICARE PIN
5Q70886MEDICARE UPIN
6F876MEDICARE PIN

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: 11/24/2020

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