University of South Alabama

NPI #1992746838 in Mobile, Alabama

Provider Information

NPI Number: 1992746838
Entity Type: Organization
Organization Name: University of South Alabama
Primary Specialty: Family Medicine
Enumeration Date: Jun 10, 2006
Last Updated: Aug 23, 2016

Practice Location

Address: 5870 ALUMNI CIR
City: Mobile
State: Alabama
ZIP Code: 36688-0001
Phone: (251) 460-7151

Authorized Official

Name: BEVERLY KELLEN
Title: PRACTICE DIRECTOR
Phone: (251) 460-7681

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X
Psychiatry & Neurology - Psychiatry — Psychiatry	2084P0800X
Nurse Practitioner	363L00000X
Family Medicine	207Q00000X	Primary

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