University of South Alabama

NPI #1639539703 in Mobile, Alabama

Provider Information

NPI Number: 1639539703
Entity Type: Organization
Organization Name: University of South Alabama
Subpart: Yes (part of a larger organization)
Parent Organization: UNIVERSITY OF SOUTH ALABAMA
Primary Specialty: Internal Medicine
Enumeration Date: Mar 2, 2016
Last Updated: Mar 2, 2016

Practice Location

Address: 2451 FILLINGIM ST
Address 2: STE 102
City: Mobile
State: Alabama
ZIP Code: 36617-2238
Phone: (251) 470-5890

Authorized Official

Name: HARVEY IKNER
Title: ASSO ADMIN OF AMBULATORY CLINICS
Phone: (251) 470-1671

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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