Individual
DR. KATISHA T VANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
833 PRINCETON AVE SW STE 105A, POB III, BIRMINGHAM, AL 35211-1323
(205) 786-6983
(205) 786-6987
Mailing address
500 OFFICE PARK DR, SUITE 400, BIRMINGHAM, AL 35223-2437
(205) 803-4330
(205) 803-4354
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
24465
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
051556668
—
AL
Enumeration date
11/20/2006
Last updated
06/04/2015
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