MEDICARE: ALLIANCE ONCOLOGY LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2085R0001X	Radiation Oncology Physician

General Provider Information

NPI Number	:	1841486552
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALLIANCE ONCOLOGY LLC

Provider Business Mailing Address
First Line	:	505 W LOUISE AVE
Second Line	:	PO BOX 2649
City	:	MUSCLE SHOALS
State	:	AL
Zip	:	35661-1517
Country	:	US
Telephone Number	:	256-383-3325
Fax Number	:	256-383-5911

Provider Business Practice Location Address
First Line	:	1110 S JACKSON HWY
Second Line	:
City	:	SHEFFIELD
State	:	AL
Zip	:	35660-5747
Country	:	US
Telephone Number	:	256-383-5211
Fax Number	:	256-381-1517

Authorized Official
Title or Position	:	C.F.O.
Name	:	MICHAEL C WEEKS
Credential	:
Telephone Number	:	256-383-3325

Provider Enumeration Date	:	09/18/2007
Last Update Date	:	02/13/2008

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Directions to “ALLIANCE ONCOLOGY LLC ” Practice Location

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