SOUTHEAST CANCER NETWORK INC NPI 1609072537

NPI Information

  • NPI: 1609072537
  • Provider Name: SOUTHEAST CANCER NETWORK, INC
  • Classification: Internal Medicine - 207RH0003X
  • Specialization: Hematology & Oncology
  • Entity Type: Organization
  • Other Name: CANCER CARE CENTER OF DEMOPOLIS
  • Address: 105 HIGHWAY 80 E.
    DEMOPOLIS, AL
    ZIP 36732
  • Phone: (205) 366-9740

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NPI Details

SOUTHEAST CANCER NETWORK, INC is a hematology and oncology internal medicine in Demopolis, AL. The provider is 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. SOUTHEAST CANCER NETWORK, INC NPI is 1609072537. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Cancer Care Center Of Demopolis.

The provider's business location address is:

105 HIGHWAY 80 E.
DEMOPOLIS, AL
ZIP 36732
Phone: (205) 366-9740

The provider's authorized official is Steve L. Mitchell .
The authorized official title is Cfo and has the following contact phone number (205) 366-9740.

The enumeration date for this NPI number is 6/26/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RH0003XInternal MedicineHematology & OncologyYes
22085R0001XRadiologyRadiation OncologyX

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This page was last updated on: 3/30/2025

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