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NPI Profile for SOUTHEAST CANCER NETWORK INC in TUSCALOOSA, AL.
January 1, 2025 - Therapeutic Radiology certificate name was changed to Radiation Oncology. Use Radiation Oncology.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Radiation Oncology |
2085R0203X | |||
Hematology & Oncology |
207RH0003X | 11 | Physician/Internal Medicine |
| NPI Number | 1295807857 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 11/15/2006 | |
| Last updated | 09/11/2025 - About 9 months ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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SOUTHEAST CANCER NETWORK, INC
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SOUTHEAST CANCER NETWORK, INC