Organization
BALDWIN COUNTY CANCER CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY W COTTER MD (SOLE MBR)
(251) 210-2961
Entity
Organization
Contact information
Practice address
808 MORPHY AVE, FAIRHOPE, AL 36532-1908
(251) 210-2961
(251) 990-4491
Mailing address
808 MORPHY AVE, FAIRHOPE, AL 36532-1908
(251) 210-2961
(251) 990-4491
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
AL9773
AL
Other
Enumeration date
07/28/2014
Last updated
08/19/2014
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