Alabama Providence Healthcare Services

NPI #1891245692 in Mobile, Alabama

Provider Information

NPI Number: 1891245692
Entity Type: Organization
Organization Name: Alabama Providence Healthcare Services
Primary Specialty: Specialist
Enumeration Date: Oct 5, 2016
Last Updated: Oct 5, 2016

Practice Location

Address: 6701 AIRPORT BLVD
Address 2: SUITE D143
City: Mobile
State: Alabama
ZIP Code: 36608-6705
Phone: (251) 342-3949

Authorized Official

Name: ERICA MADISON
Title: CREDENTIALING SPECIALIST
Phone: (251) 342-3949

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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