Organization
SOUTHERN CANCER CENTER, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAUREN PETTIS RN/OCN (EXECUTIVE DIRECTOR)
(251) 625-6896
Entity
Organization
Contact information
Practice address
6701 AIRPORT BLVD, B BLDG., T LEVEL, MOBILE, AL 36608-6705
(251) 625-6896
(251) 266-3209
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
—
—
207RX0202X
Medical Oncology Physician
—
—
2085R0001X
Radiation Oncology Physician
—
—
208600000X
Surgery Physician
—
—
2086X0206X
Surgical Oncology Physician
—
—
332900000X
Non-Pharmacy Dispensing Site
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
148349
—
AL
05
—
216459
—
AL
05
—
221523
—
AL
05
—
262637
—
AL
05
—
279717
—
AL
05
—
280449
—
AL
05
—
529932140
—
AL
05
—
529932160
—
AL
05
—
529932170
—
AL
Enumeration date
12/28/2006
Last updated
12/16/2025
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