Providence Healthcare Services

NPI #1912101981 in Mobile, Alabama

Provider Information

NPI Number
1912101981
Entity Type
Organization
Organization Name
Providence Healthcare Services
Primary Specialty
Family Medicine
Enumeration Date
Jun 13, 2007
Last Updated
Aug 27, 2012

Practice Location

Address
6901 AIRPORT BLVD
City
Mobile
State
Alabama
ZIP Code
36608-3795
Phone
(251) 639-5070

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Family Medicine

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