Organization
NORTHWEST ALABAMA CANCER CENTER RADIOLOGICAL SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. J. PATRICK DAUGHERTY MD (PRESIDENT)
(256) 764-4200
Entity
Organization
Contact information
Practice address
302 W DR HICKS BLVD, STE. B, FLORENCE, AL 35630-6160
(256) 767-2733
(256) 767-2717
Mailing address
101 DR W H BLAKE JR DR, MUSCLE SHOALS, AL 35661-2152
(256) 381-1001
(256) 381-3604
Taxonomy
Speciality
Code
Description
License number
State
2085N0904X
Nuclear Radiology Physician
Primary
1359
AL
Other
Enumeration date
05/10/2006
Last updated
05/22/2012
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