National Provider Identifier Database

SOUTHEAST PHYSICIAN NETWORK PC
Hematology & Oncology

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.


Contact Information

SOUTHEAST PHYSICIAN NETWORK, P.C.
1410 MCFARLAND BLVD N
TUSCALOOSA, AL35406-2209
Phone: 205-345-8208
Fax: 205-345-8209
Website:
Specialty Taxonomy Code
* Hematology & Oncology 207RH0003X
Radiation Oncology 2085R0001X
Urology 208800000X

* Indicates primary specialty

NPI Profile & details for SOUTHEAST PHYSICIAN NETWORK, P.C.

NPI Number 1598090839
Legal business name
LBN
SOUTHEAST PHYSICIAN NETWORK, P.C.
Authorized official SHELBY SANFORD - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 10/05/2009
Last updated 09/10/2019 - About 7 years ago
Sole proprietor1 Not specified
Identifiers
  • AL License #: 10900

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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