NPI 1083043178

Alabama Providence Healthcare Services

Organisation Family Medicine Physician Mobile, AL

Practice location

Address: 610 Providence Park Dr E Bldg 1, Suite 102, Mobile, AL 36695-4622
Phone: (251) 639-5070
Fax: (251) 634-2994
Mailing address: PO Box 850489, Mobile, AL 36685-0489

Authorised official

Name: Todd S. Kennedy
Title: President
Phone: (251) 633-1660

Registered specialties (3)

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X

Other Family Medicine providers in Alabama →

Internal Medicine Physician

Allopathic & Osteopathic Physicians Taxonomy 207R00000X

Other Internal Medicine providers in Alabama →

Pediatrics Physician

Allopathic & Osteopathic Physicians Taxonomy 208000000X

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Registry record

NPI: 1083043178
Entity type: Organization
NPI issued: 8 Nov 2013
Record last updated: 28 Sep 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.