CANCER CARE CENTER OF ANNISTON – NPI #1245472356
Internal Medicine

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 obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

CANCER CARE CENTER OF ANNISTON is a provider located in ANNISTON, AL. NPPES has assigned the NPI number 1245472356 to CANCER CARE CENTER OF ANNISTON on April 03, 2009. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “CANCER CARE CENTER OF ANNISTON” is a dba name, the actual legal business name for this organization is SOUTHEAST CANCER NETWORK, INC. The primary taxonomy selected by this provider is 207RH0003X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Hematology & Oncology

The NPI profile was previously updated about 17 years ago on Apr 06, 2009. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CANCER CARE CENTER OF ANNISTON below.

NPI Profile for
SOUTHEAST CANCER NETWORK, INC

NPI Number
1245472356
Enumeration Date

(more than 17 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SOUTHEAST CANCER NETWORK, INC
Doing Business As (dba): CANCER CARE CENTER OF ANNISTON
Primary location
171 TOWN CENTER DR
SUITE MPS-6
ANNISTON, AL 36205-4101
Phone: (256) 847-3369 Fax: (256) 847-3469
Mailing address
1400 AFFLINK PL
SUITE 100
TUSCALOOSA, AL 35406-2289
Phone: (205) 366-9740 Fax: (205) 344-9992
Organization Subpart
No
Authorized Official
STEVE MITCHELL
CFO
Phone: (205) 366-9740
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RH0003X
- Internal Medicine / Hematology & Oncology (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.