Individual
SHELBY P SANFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1410 MCFARLAND BLVD N, TUSCALOOSA, AL 35406-2209
(205) 345-8208
(205) 345-8209
Mailing address
1400 AFFLINK PL STE 100, TUSCALOOSA, AL 35406-2289
(205) 366-9740
(205) 344-9992
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
10900
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000008441
—
AL
05
—
000036886
—
AL
05
—
009965020
—
AL
01
—
051008441
BC TUSCALOOSA
AL
01
—
051036886
BC WINFIELD
AL
01
—
051501876
BC JASAPER
AL
05
—
114474
—
AL
05
—
114475
—
AL
05
—
114476
—
AL
05
—
114478
—
AL
Enumeration date
08/01/2006
Last updated
05/09/2019
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