Healthcare Provider Details

I. General information

NPI: 1013407675
Provider Name (Legal Business Name): ALABAMA RADIATION THERAPY SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/18/2018
Last Update Date: 08/29/2022
Certification Date: 08/29/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3670 GRANDVIEW PKWY #100
BIRMINGHAM AL
35243
US

IV. Provider business mailing address

PO BOX 531006
ATLANTA GA
30353-1006
US

V. Phone/Fax

Practice location:
  • Phone: 205-971-1800
  • Fax:
Mailing address:
  • Phone: 800-329-1906
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0001X
TaxonomyRadiation Oncology Physician
License Number
License Number State

VIII. Authorized Official

Name: ROBIN MESSINA
Title or Position: CREDENTIALING
Credential:
Phone: 407-788-1906