Providence Healthcare Services

NPI #1497959613 in Mobile, Alabama

Provider Information

NPI Number: 1497959613
Entity Type: Organization
Organization Name: Providence Healthcare Services
Primary Specialty: Internal Medicine
Enumeration Date: Jun 12, 2007
Last Updated: May 9, 2017

Practice Location

Address: 5621 COTTAGE HILL RD
City: Mobile
State: Alabama
ZIP Code: 36609-4210
Phone: (251) 666-2439

Authorized Official

Name: MR. TODD KENNEDY
Title: PRESIDENT
Phone: (251) 631-3574

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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