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Contact Information

VANTAGE CANCER CARE NETWORK OF ALABAMA, LLC
29653 ANCHOR CROSS BLVD
DAPHNE, AL36526-9594
 Phone: 251-626-1755
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical Oncology

207RX0202X 11 Physician/Internal Medicine
 

Radiation Oncology

2085R0001X 92 Physician/Radiation Oncology
Indicates primary specialty

NPI Profile & details for VANTAGE CANCER CARE NETWORK OF ALABAMA LLC · (Female)

NPI Number 1649672080
Status Active
Credentials
Entity Individual
Enumeration date 09/17/2014
Last updated 10/15/2014 - About 12 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
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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