Alabama Providence Healthcare Services

NPI #1093174286 in Gulf Shores, Alabama

Provider Information

NPI Number: 1093174286
Entity Type: Organization
Organization Name: Alabama Providence Healthcare Services
Primary Specialty: General Practice
Enumeration Date: Feb 16, 2016
Last Updated: Feb 16, 2016

Practice Location

Address: 1700 W 2ND ST
City: Gulf Shores
State: Alabama
ZIP Code: 36542-3422
Phone: (251) 342-3949

Authorized Official

Name: TODD KENNEDY
Title: PRESIDENT
Phone: (251) 633-8880

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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