Southeast Physician Network, P.C.
Internal Medicine, Hematology & Oncology in Tuscaloosa, AL. Organization (NPI-2).
NPI number1598090839
StatusActive
Last updated in NPPESSep 10, 2019
Details
- NPI
- 1598090839
- Entity type
- Organization (NPI-2)
- Legal business name
- Southeast Physician Network, P.C.
- Organization subpart
- No
- Enumeration date
- Oct 5, 2009
- Last updated
- Sep 10, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RH0003X | Internal Medicine, Hematology & Oncology | 10900 | AL | Yes |
| 2085R0001X | 10900 | AL | ||
| 208800000X | Urology | 10900 | AL |
Practice location
1410 McFarland Blvd NTuscaloosa, AL 35406-2209
Phone 205-345-8208 · Fax 205-345-8209
Mailing address
1400 Afflink Pl Ste 101Tuscaloosa, AL 35406-2452
Phone 205-345-8208 · Fax 205-345-8209
Authorized official
Shelby Sanford
President
2053458208
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