# PROTON INTERNATIONAL ALABAMA, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** UAB Proton Center, Proton International at UAB
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649736752
- **Authorized official:** MR. CHARLES YOO (BOARD MEMBER)
- **Authorized official phone:** (630) 649-4060

## Contact information

- **Practice address:** 400 20TH STREET SOUTH, BIRMINGHAM, AL 35233
- **Practice address phone:** (630) 649-4060
- **Mailing address:** 922 HAWKHORN CT, ALPHARETTA, GA 30005-4358
- **Mailing address phone:** (630) 649-4060
- **Mailing address fax:** (312) 896-9537

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2085R0001X | Radiation Oncology Physician | — | NULL | — |
| 2085R0001X | Radiation Oncology Physician | — | — | — |
| 261Q00000X | Clinic/Center | — | NULL | — |
| 261QX0203X | Radiation Oncology Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 02/13/2019
- **Last updated:** 12/21/2021
