Northwest Alabama Cancer Center Radiological Services Inc

Primary specialty

Nuclear Radiology PhysicianTaxonomy code 2085N0904X

License

1359 Issued in AL

Legal business name

NORTHWEST ALABAMA CANCER CENTER RADIOLOGICAL SERVICES INC

Practice address

302 W Dr Hicks Blvd
Ste. B
Florence, AL 35630-6160

Phone

(256) 767-2733

Fax

(256) 767-2717

NPI assigned

May 10, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. J. Patrick Daugherty, MD

Title

President

Phone

(256) 764-4200

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337644800000",
    "number": "1972553204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 DR W H BLAKE JR DR",
            "city": "MUSCLE SHOALS",
            "state": "AL",
            "postal_code": "356612152",
            "telephone_number": "256-381-1001",
            "fax_number": "256-381-3604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 W DR HICKS BLVD",
            "address_2": "STE. B",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356306160",
            "telephone_number": "256-767-2733",
            "fax_number": "256-767-2717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST ALABAMA CANCER CENTER RADIOLOGICAL SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-10",
        "last_updated": "2012-05-22",
        "status": "A",
        "authorized_official_last_name": "DAUGHERTY",
        "authorized_official_first_name": "J.",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "256-764-4200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085N0904X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Nuclear Radiology",
            "state": "AL",
            "license": "1359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nuclear Radiology Physician in Florence, AL
• Providers in Florence, AL by specialty
• Nuclear Radiology Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.