Organization Name: | BALDWIN COUNTY CANCER CENTER LLC |
NPI Number: | 1215345723 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | GREGORY W COTTER (SOLE MBR) |
Mailing Address: | 808 Morphy Ave Fairhope |
State: | AL US |
Postal Code: | 365321908 |
Phone Number: | 2512102961 |
Fax Number: | 2519904491 |
NPI Enumeration Date: | 07/28/2014 |
NPI Last Update Date: | 08/19/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085R0001X |
License Number: | AL9773 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Radiation Oncology |
Taxonomy Definition: | A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |