University of South Alabama Health Care Authority

NPI #1174005102 in Mobile, Alabama

Provider Information

NPI Number: 1174005102
Entity Type: Organization
Organization Name: University of South Alabama Health Care Authority
Primary Specialty: Specialist
Enumeration Date: Sep 6, 2018
Last Updated: Apr 29, 2021

Practice Location

Address: 3290 DAUPHIN ST
City: Mobile
State: Alabama
ZIP Code: 36606-4062
Phone: (251) 633-8880

Authorized Official

Name: ERICA MADISON
Title: CREDENTIALING
Phone: (251) 318-2681

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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