University of South Alabama

NPI #1992163505 in Mobile, Alabama

Provider Information

NPI Number: 1992163505
Entity Type: Organization
Organization Name: University of South Alabama
Primary Specialty: Pediatrics
Enumeration Date: Feb 10, 2016
Last Updated: Jul 21, 2022

Practice Location

Address: 1601 CENTER ST STE 1N
City: Mobile
State: Alabama
ZIP Code: 36604-1541
Phone: (251) 410-5437

Authorized Official

Name: GLEN OWEN BAILEY
Title: CEO
Phone: (251) 471-7118

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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