The University of South Alabama Family Practice

NPI #1912385261 in Mobile, Alabama

Provider Information

NPI Number
1912385261
Entity Type
Organization
Organization Name
The University of South Alabama Family Practice
Primary Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)
Enumeration Date
May 7, 2015
Last Updated
May 7, 2015

Practice Location

Address
1504 SPRING HILL AVE
Address 2
1800
City
Mobile
State
Alabama
ZIP Code
36604-3207
Phone
(251) 434-3661

Authorized Official

Name
RENETTA DENISE MACMILLAN, RN
Title
MANAGER CLINICAL OPERATION
Phone
(251) 434-3661

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)Federally Qualified Health Center (FQHC)

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