University of South Alabama Health Care Authority

NPI #1417413840 in Fairhope, Alabama

Provider Information

NPI Number: 1417413840
Entity Type: Organization
Organization Name: University of South Alabama Health Care Authority
Primary Specialty: Urology
Enumeration Date: Feb 11, 2019
Last Updated: Apr 29, 2021

Practice Location

Address: 150 S INGLESIDE ST
City: Fairhope
State: Alabama
ZIP Code: 36532-1803
Phone: (251) 660-5930

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Urology	208800000X	Primary

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