Alabama Providence Healthcare Services

NPI #1629407721 in Mobile, Alabama

Provider Information

NPI Number: 1629407721
Entity Type: Organization
Organization Name: Alabama Providence Healthcare Services
Subpart: Yes (part of a larger organization)
Parent Organization: ALABAMA PROVIDENCE HEALTHCARE SERVICES
Primary Specialty: Family Medicine
Enumeration Date: Nov 8, 2013
Last Updated: Sep 28, 2015

Practice Location

Address: 5100 RANGELINE ROAD N
City: Mobile
State: Alabama
ZIP Code: 36619-9504
Phone: (251) 661-4454

Authorized Official

Name: MR. TODD S. KENNEDY
Title: PRESIDENT
Phone: (251) 633-1660

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X
Family Medicine	207Q00000X	Primary

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