Alabama Providence Healthcare Services

NPI #1093241671 in Mobile, Alabama

Provider Information

NPI Number: 1093241671
Entity Type: Organization
Organization Name: Alabama Providence Healthcare Services
Primary Specialty: Otolaryngology
Enumeration Date: May 3, 2017
Last Updated: May 3, 2017

Practice Location

Address: 6701 AIRPORT BLVD
Address 2: SUITE B123
City: Mobile
State: Alabama
ZIP Code: 36608-6705
Phone: (251) 342-3949

Authorized Official

Name: ERICA MADISON
Title: CREDENTIALING SPECIALIST
Phone: (251) 342-3949

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Otolaryngology	207Y00000X	Primary

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