NPI 1114388667

University of South Alabama

Organisation Child Abuse Pediatrics Physician Mobile, AL

Practice location

Address: 1601 Center St STE 1n, Mobile, AL 36604-1541
Phone: (251) 410-5437
Fax: (251) 434-3802
Mailing address: PO Box 40480, Mobile, AL 36640-0480

Authorised official

Name: Glen Owen Bailey
Title: Ceo
Phone: (251) 471-7118

Registered specialties

Child Abuse Pediatrics Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2080C0008X

Other Pediatrics providers in Alabama →

Registry record

NPI: 1114388667
Entity type: Organization
NPI issued: 11 Mar 2016
Record last updated: 21 Jul 2022

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.