Organization
SOUTHEAST CANCER NETWORK, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVE L MITCHELL (CFO)
(205) 366-1605
Entity
Organization
Contact information
Practice address
1400 AFFLINK PL, SUITE 100, TUSCALOOSA, AL 35406-2289
(205) 366-9740
(205) 344-9992
Mailing address
1400 AFFLINK PL, SUITE 100, TUSCALOOSA, AL 35406-2289
(205) 366-9740
(205) 344-9992
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CD7212
RAILROAD MEDICARE GROUP PTAN
AL
Enumeration date
05/27/2006
Last updated
03/05/2014
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