Organization
SOUTH ALABAMA RADIATION ONCOLOGY, PC
Active
Parent organization
SOUTH ALABAMA RADIATION ONCOLOGY, PC
Other names
Gulf Coast Cancer Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOUTH ALABAMA RADIATION ONCOLOGY, PC
Authorized official
WILLIAM CARROLL HIXSON MD (OWNER PRESIDENT)
(251) 943-1680
Entity
Organization
Contact information
Practice address
1703 N BUNNER ST, FOLEY, AL 36535-2229
(251) 626-1755
(251) 980-1683
Mailing address
PO BOX 1380, FOLEY, AL 36536
(251) 626-1755
(251) 626-1755
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01D1068466
CLIA
AL
01
—
51524757
BCBS
AL
05
—
529601710
—
AL
01
—
CC3256
RR MEDICARE
AL
Enumeration date
10/03/2006
Last updated
12/02/2010
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