NPI 1104644160
USA Health Community Providers LLC
Practice location
- Address
- 4300 Old Shell Rd, Mobile, AL 36608-2096
- Phone
- (251) 342-7880
- Mailing address
- PO Box 36258, Belfast, ME 04915-1204
Authorised official
- Name
- Benny Joseph Stover
- Title
- Cfo
- Phone
- (251) 445-9164
Registered specialties
Dermatology Physician
Primary
Registry record
- NPI
- 1104644160
- Entity type
- Organization
- NPI issued
- 30 Sep 2024
- Record last updated
- 30 Sep 2024
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.