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Organization

MONTGOMERY CANCER CENTER, LLC

Active
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Organization

MONTGOMERY CANCER CENTER, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
VENTY BUTTS (ADMINISTRATOR)
(334) 273-7000
Entity
Organization

Contact information

Practice address
4145 CARMICHAEL ROAD, MONTGOMERY, AL 36106-2801
(334) 273-7000
(337) 273-2386
Mailing address
4145 CARMICHAEL ROAD, MONTGOMERY, AL 36106-2801
(334) 273-7000
(337) 273-2386

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
—
207RX0202X
Medical Oncology Physician
—
—
2085R0001X
Radiation Oncology Physician
—
—

Other

Enumeration date
06/15/2006
Last updated
12/07/2009
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