Organization
GULF COAST CANCER CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM CARROLL HIXSON MD (OWNER PRESIDENT)
(251) 943-1680
Entity
Organization
Contact information
Practice address
253 PROFESSIONAL LANE, GULF SHORES, AL 36542
(251) 948-7897
(251) 968-8597
Mailing address
PO BOX 1380, FOLEY, AL 36536
(251) 948-7897
(251) 968-8597
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DE8138
RR MEDICARE
AL
Enumeration date
10/03/2006
Last updated
10/25/2007
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