SURGICAL ONCOLOGY GENERAL SUGERY PC, Specialist ATMORE, AL

Contact Information

SURGICAL ONCOLOGY & GENERAL SUGERY, PC

406 MEDICAL PARK DR
ATMORE, AL 36502-3016

Phone: 251-368-9826
Fax: 251-368-3917
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Specialist	174400000X
Surgery	208600000X	02	Physician/General Surgery
Surgical Oncology	2086X0206X	02	Physician/General Surgery

Indicates primary specialty

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NPI Profile & details for SURGICAL ONCOLOGY GENERAL SUGERY PC · (Female)

NPI #	`1588787220`
Status	Active
Credentials
Entity	Individual
Enumeration date	04/09/2007
Last updated	02/09/2023 - About 3 years ago
Sole proprietor ¹	Not specified
Identifiers	AL License # 9132 AL Medicaid 000080702 AL Other 51080702 BCBS AL Other 529301280 MEDICAID GROUP # AL Other 000080702 MEDICARE AL Other 010024215 RR MEDICARE
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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