Organization
MONTGOMERY CANCER CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VENTY BUTTS (CEO)
(334) 273-2285
Entity
Organization
Contact information
Practice address
1023 MEDICAL CENTER PKWY, SUITE 110, SELMA, AL 36701-6780
(334) 872-9300
Mailing address
4145 CARMICHAEL RD, MONTGOMERY, AL 36106-2803
(334) 273-7000
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
—
207RX0202X
Medical Oncology Physician
—
—
2085R0001X
Radiation Oncology Physician
—
—
Other
Enumeration date
09/24/2008
Last updated
09/24/2008
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