United States Coast Guard

NPI #1487631115 in Mobile, Alabama

Provider Information

NPI Number: 1487631115
Entity Type: Organization
Organization Name: United States Coast Guard
Primary Specialty: Technician, Other
Enumeration Date: Dec 23, 2005
Last Updated: Aug 22, 2020

Practice Location

Address: 8501 TANNER WILLIAMS RD
City: Mobile
State: Alabama
ZIP Code: 36608-8322
Phone: (251) 441-6561

Authorized Official

Name: MR. JOHN ALLEN
Title: LIEUTENANT
Phone: (251) 441-6411

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Other	247200000X	Primary

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