Providence Healthcare Services

NPI #1740484955 in Mobile, Alabama

Provider Information

NPI Number
1740484955
Entity Type
Organization
Organization Name
Providence Healthcare Services
Primary Specialty
Family Medicine
Enumeration Date
Jun 12, 2007
Last Updated
Aug 27, 2012

Practice Location

Address
8833 COTTAGE HILL RD
City
Mobile
State
Alabama
ZIP Code
36695-8345
Phone
(251) 544-5420

Authorized Official

Name
MR. CLARK P. CHRISTIANSON
Title
PRESIDENT
Phone
(251) 631-3574

Specialties & Taxonomy Codes

Specialty
Family Medicine

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