Organization
BLOOD AND CANCER CENTER, INC
Active
Other names
ANTHONY J KALLIATH MD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTHONY J KALLIATH (OWNER)
(256) 760-0422
Entity
Organization
Contact information
Practice address
202 E DR HICKS BLVD, FLORENCE, AL 35630-5768
(256) 760-0422
(256) 760-0332
Mailing address
202 E DR HICKS BLVD, FLORENCE, AL 35630-5768
(256) 760-0422
(256) 760-0332
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
AL14483
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0133695
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
051503257
—
AL
Enumeration date
05/22/2006
Last updated
12/09/2010
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