Providence Healthcare Services

NPI #1124222427 in Mobile, Alabama

Provider Information

NPI Number
1124222427
Entity Type
Organization
Organization Name
Providence Healthcare Services
Primary Specialty
Family Medicine
Enumeration Date
Jun 12, 2007
Last Updated
Sep 13, 2012

Practice Location

Address
5100 RANGELINE ROAD NORTH
City
Mobile
State
Alabama
ZIP Code
36619-9504
Phone
(251) 661-4454

Authorized Official

Name
MR. CLARK P. CHRISTIANSON
Title
PRESIDENT
Phone
(251) 633-1660

Specialties & Taxonomy Codes

Specialty
Family Medicine

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