NPI Profile for MONTGOMERY CANCER CENTER LLC in MONTGOMERY, AL.
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.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Hematology & Oncology |
207RH0003X | 11 | Physician/Internal Medicine | |
Medical Oncology |
207RX0202X | 11 | Physician/Internal Medicine | |
Radiation Oncology |
2085R0001X | 92 | Physician/Radiation Oncology |
| NPI Number | 1427092220 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 06/15/2006 | |
| Last updated | 12/07/2009 - About 17 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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MONTGOMERY CANCER CENTER, LLC
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| JACQUELIN R CHUA, MD 1722 PINE ST MONTGOMERY, AL |
| ANA I TEJERO, DO 1722 PINE ST STE 309 MONTGOMERY, AL |
| LEON N DAVIS JR, MD 1725 W 4TH ST MONTGOMERY, AL |
| SHEPHERD A ODOM MD PC 4143 ATLANTA HWY MONTGOMERY, AL |
| STEPHEN R DILL, MD 2573 FAIRLANE DR MONTGOMERY, AL |
| EDWIN E ESCORCIA DE LEON, MD 2055 E SOUTH BLVD MONTGOMERY, AL |
| WILLIAM J DAILEY, MD 6940 WINTON BLOUNT BLVD MONTGOMERY, AL |
| ANDREW W MURKETT, MD 440 TAYLOR RD MONTGOMERY, AL |
| PETER D MILLER, MD BAPTIST MEDICAL CENETR EAST MONTGOMERY, AL |
| KIRBY PARKER, MD 6940 WINTON BLOUNT BLVD MONTGOMERY, AL |