Individual
DR. NICOLE LEE ANGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6701 AIRPORT BLVD, BLDG B T-LEVEL, MOBILE, AL 36608
(251) 625-6896
(251) 625-6897
Mailing address
29653 ANCHOR CROSS BLVD, DAPHNE, AL 36526-9594
(251) 625-6896
(251) 625-6897
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
23909
AL
207RX0202X
Medical Oncology Physician
23909
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009941766
—
AL
05
—
051502933
—
AL
01
—
P00377082
RAILROAD MEDICARE
AL
Enumeration date
05/19/2006
Last updated
10/22/2021
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