University of South Alabama

NPI #1205303153 in Mobile, Alabama

Provider Information

NPI Number: 1205303153
Entity Type: Organization
Organization Name: University of South Alabama
Primary Specialty: Clinic/Center - Occupational Medicine
Enumeration Date: Oct 30, 2018
Last Updated: Oct 30, 2018

Practice Location

Address: 1610 CENTER ST STE B
City: Mobile
State: Alabama
ZIP Code: 36604-1512
Phone: (251) 415-1670

Authorized Official

Name: GLEN OWEN BAILEY
Title: CEO
Phone: (251) 471-7118

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Occupational Medicine — Occupational Medicine	261QX0100X	Primary

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