Organization
SOUTHEAST PHYSICIAN NETWORK, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVE L MITCHELL (CFO)
(205) 366-1605
Entity
Organization
Contact information
Practice address
1400 AFFLINK PL, SUITE 100, TUSCALOOSA, AL 35406-2289
(205) 366-9740
(205) 344-9992
Mailing address
1400 AFFLINK PL, SUITE 100, TUSCALOOSA, AL 35406-2289
(205) 366-9740
(205) 344-9992
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
—
2085R0001X
Radiation Oncology Physician
—
—
208800000X
Urology Physician
—
—
Other
Enumeration date
07/02/2009
Last updated
02/15/2013
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