Organization
BETHESDA RESOURCES INC
Active
Other names
Bethesda Cancer Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES P STOKES (C.E.O.)
(256) 383-3325
Entity
Organization
Contact information
Practice address
505 W LOUISE AVE, MUSCLE SHOALS, AL 35661-1517
(256) 383-3325
(256) 383-5911
Mailing address
PO BOX 2649, MUSCLE SHOALS, AL 35662-2649
(256) 383-3325
(256) 383-5911
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09015885
—
MS
05
—
09015886
—
MS
Enumeration date
10/07/2005
Last updated
12/13/2007
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