NPI 1255994141

University of South Alabama Health Care Authority

Organisation Dermatology Physician Mobile, AL

Practice location

Address: 4300 Old Shell Rd STE B, Mobile, AL 36608-2036
Phone: (251) 342-7880
Fax: (251) 342-8369
Mailing address: 3929-1 Airport Blvd 5th Floor, Room 513, Mobile, AL 36609

Authorised official

Name: Erica Madison
Title: Credentialing
Phone: (251) 318-2681

Registered specialties

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X

Other Dermatology providers in Alabama →

Registry record

NPI: 1255994141
Entity type: Organization
NPI issued: 17 Apr 2019
Record last updated: 7 Apr 2021

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.