Healthcare Provider Details

I. General information

NPI: 1972546232
Provider Name (Legal Business Name): SANDRA TINCHER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 06/14/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2018 BROOKWOOD MEDICAL CTR DR
BIRMINGHAM AL
35209-6898
US

IV. Provider business mailing address

PO BOX 660928
BIRMINGHAM AL
35266-0928
US

V. Phone/Fax

Practice location:
  • Phone: 205-877-2339
  • Fax: 205-877-1821
Mailing address:
  • Phone: 205-877-2339
  • Fax: 205-877-1821

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0001X
TaxonomyRadiation Oncology Physician
License Number21864
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: