Uscg

NPI #1396846739 in Mobile, Alabama

Provider Information

NPI Number
1396846739
Entity Type
Organization
Organization Name
Uscg
Primary Specialty
Preferred Provider Organization
Enumeration Date
Sep 26, 2006
Last Updated
Aug 22, 2020

Practice Location

Address
USCG ATC MOBILE
Address 2
8501 TANNER WILLIAMS ROAD
City
Mobile
State
Alabama
ZIP Code
36608
Phone
(251) 441-6725

Authorized Official

Name
JOHN ALLEN
Title
MEDICAL ADMINISTRATOR
Phone
(251) 441-6411

Specialties & Taxonomy Codes

Specialty
Preferred Provider Organization

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