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General NPI Number Information
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NPI Number | 1790908796
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Entity Type | Individual
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Provider Name | BRIAN C CENTER M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/10/2007
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Last Update Date | 10/30/2024
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Provider Practice Location Address
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Address Line | 2100 STATE AVE
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City | PANAMA CITY
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State | FL
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Zip | 32405-4587
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Country | US
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Telephone | 850-763-0036
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Fax | 850-763-0259
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Provider Business Mailing Address
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Address Line | PO BOX 946205
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City | ATLANTA
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State | GA
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Zip | 30394-6205
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Country | US
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Telephone | 800-998-3450
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Fax | 757-942-3290
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | 29354
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | 2007-01477
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | ME170118
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License Number State | FL
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