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Contact Information

KATISHA T VANCE, MD
833 PRINCETON AVE SW STE 105A
POB III
BIRMINGHAM, AL35211-1323
 Phone: 205-786-6983
 Fax: 205-786-6987
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hematology & Oncology

207RH0003X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for KATISHA T VANCE · (Female)

NPI # 1467526442
Status Active
Credentials MD
Entity Individual
Enumeration date 11/20/2006
Last updated 06/04/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • AL License # 24465
  • AL Medicaid 051556668
Hospital affiliation(s)
  • BAPTIST MEDICAL CENTER-PRINCETON - (Acute Care)
    701 PRINCETON AVENUE SOUTHWEST
    BIRMINGHAM, AL 35211
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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