Southern Cancer Center, Pc in Daphne - Hematology & Oncology
Southern Cancer Center, Pc - NPI 1578629556
Southern Cancer Center, Pc is a Hematology & Oncology in Daphne, Alabama. Southern Cancer Center, Pc practices all healthcare services and medical treatments related to Hematology & Oncology. The NPI Number for Southern Cancer Center, Pc is 1578629556. The last update date is 2022-03-31.
Southern Cancer Center, Pc's current location address is 29653 Anchor Cross Blvd, Daphne, Alabama. You can contact this provider via phone number 2516256896 and fax number 2516256897. The mailing address for Southern Cancer Center, Pc is 29653 Anchor Cross Blvd, Daphne, Alabama. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Southern Cancer Center, Pc |
|---|---|
| Address | 29653 Anchor Cross Blvd, Daphne, Alabama |
| Phone Number | 2516256896 |
| Fax Number | 2516256897 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Pettis Lauren |
| Credentials | RN/OCN |
| Telephone Number | 2516256896 |
NPI Number Detail
| NPI Number | 1578629556 |
|---|---|
| Provider Enumeration Date | 2006-12-28 |
| Last Updated Date | 2022-03-31 |
Provider Mailing Address Detail
| Address | 29653 Anchor Cross Blvd |
|---|---|
| City | Daphne |
| State | Alabama (AL) |
| Post Code | 365269594 |
| Phone Number | 2516256896 |
| Fax Number | 2516256897 |
Provider's Primary Taxonomy Detail
| Speciality | Hematology & Oncology |
|---|---|
| Taxonomy | 207Rh0003X |
|
Definition: An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to ob |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 148349 | AL | -- | |
| 529932140 | AL | -- | |
| 529932170 | AL | -- | |
| 221523 | AL | -- | |
| 279717 | AL | -- | |
| 529932160 | AL | -- | |
| 262637 | AL | -- | |
| 216459 | AL | -- | |
| 280449 | AL | -- |
Post Comment/ Review Below
What is the Southern Cancer Center, Pc's unique identification number?
The Southern Cancer Center, Pc has been assigned the NPI (National Provider Identifier) Number 1578629556 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Southern Cancer Center, Pc?
The Southern Cancer Center, Pc is situated at 29653 Anchor Cross Blvd, in the city of Daphne, state of AL, with the zip code 365269594.
What is Southern Cancer Center, Pc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Southern Cancer Center, Pc's specialized field of practice is Hematology & Oncology, and the corresponding taxonomy code that categorizes this area of specialization is 207Rh0003X.
On what date did the Centers for Medicare & Medicaid Services assign the 1578629556 to Southern Cancer Center, Pc?
The Centers for Medicare & Medicaid Services assigned the 1578629556 to Southern Cancer Center, Pc on 2006-12-28.
When was the information pertaining to Southern Cancer Center, Pc most recently updated or revised?
The details related to Southern Cancer Center, Pc, including its address, specialty, and other relevant information, were last updated or revised on 2022-03-31.