University of South Alabama

NPI #1841650017 in Mobile, Alabama

Provider Information

NPI Number: 1841650017
Entity Type: Organization
Organization Name: University of South Alabama
Subpart: Yes (part of a larger organization)
Parent Organization: UNIVERSITY OF SOUTH ALABAMA
Primary Specialty: Family Medicine
Enumeration Date: Mar 2, 2016
Last Updated: Mar 2, 2016

Practice Location

Address: 1504 SPRING HILL AVE
Address 2: STE 1800
City: Mobile
State: Alabama
ZIP Code: 36604-3207
Phone: (251) 434-3475

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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