Alabama Providence Healthcare Services

NPI #1083043178 in Mobile, Alabama

Provider Information

NPI Number: 1083043178
Entity Type: Organization
Organization Name: Alabama Providence Healthcare Services
Subpart: Yes (part of a larger organization)
Parent Organization: ALABAMA PROVIDENCE HEALTHCARE SERVICES
Primary Specialty: Family Medicine
Enumeration Date: Nov 8, 2013
Last Updated: Sep 28, 2015

Practice Location

Address: 610 PROVIDENCE PARK DR E
Address 2: BLDG 1, SUITE 102
City: Mobile
State: Alabama
ZIP Code: 36695-4622
Phone: (251) 639-5070

Authorized Official

Name: MR. TODD S. KENNEDY
Title: PRESIDENT
Phone: (251) 633-1660

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X
Pediatrics	208000000X
Family Medicine	207Q00000X	Primary

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