SOUTHEAST CANCER CARE NETWORK LLC NPI 1912043704

NPI Information

SOUTHEAST CANCER CARE NETWORK LLC is a radiation oncology radiology in Enterprise, AL. The provider is a radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. SOUTHEAST CANCER CARE NETWORK LLC NPI is 1912043704. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Enterprise Cancer Center.

The provider's business location address is:

203 E ADAMS AVE
ENTERPRISE, AL
ZIP 36330-546
Phone: (334) 347-5316

The provider's authorized official is Sissy Caughran .
The authorized official title is Mgr and has the following contact phone number (850) 526-2104.

The CLIA number assigned to this NPI record is 01D2269866 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 1/29/2007 and was last updated on 7/26/2012.

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:

Other Identifiers

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