Organization
MONTGOMERY CANCER CENTER LLC
Active
Organization
MONTGOMERY CANCER CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VENTY BUTTS (ADMINISTRATOR)
(334) 273-7000
Entity
Organization
Contact information
Practice address
1023 MEDICAL CENTER PKWY, SUITE 110, SELMA, AL 36701-6780
(334) 872-9300
(334) 872-3919
Mailing address
4145 CARMICHAEL RD, MONTGOMERY, AL 36106-2803
(334) 273-7000
(334) 273-2386
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
21005
AL
Other
Enumeration date
06/04/2007
Last updated
09/18/2008
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