Organization
EAST ALABAMA MEDICAL CENTER ONCOLOGY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRISTOPHER M CLARK (DIRECTOR - ONCOLOGY SVC - WOUND CTR)
(334) 528-2309
Entity
Organization
Contact information
Practice address
2000 PEPPERELL PKWY, OPELIKA, AL 36801-5452
(334) 528-4411
(334) 528-4414
Mailing address
2000 PEPPERELL PKWY, OPELIKA, AL 36801-5452
(334) 528-4411
(334) 528-4414
Taxonomy
Speciality
Code
Description
License number
State
261QX0200X
Oncology Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010029
BLUE CROSS - BLUE SHIELD
AL
Enumeration date
01/18/2007
Last updated
08/22/2020
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