Organization · Type 2 NPI

Alabama Providence Healthcare Services

Family Medicine Physician · Mobile, AL

NPI number 1083043178 Active

Practice location

610 Providence Park Dr E, Bldg 1, Suite 102
Mobile, AL 36695-4622

Call (251) 639-5070 Map

Fax (251) 634-2994

Mailing address

PO Box 850489
Mobile, AL 36685-0489

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician Primary	207Q00000X	None listed
Internal Medicine Physician	207R00000X	None listed
Pediatrics Physician	208000000X	None listed

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

20 other providers at this address

Other family medicine physician providers in Mobile

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NPI record

NPI: 1083043178
Entity type: Organization (Type 2)
Issued: Nov 8, 2013
Last updated: Sep 28, 2015
Status: Active
Subpart: Yes of Alabama Providence Healthcare Services

Other names

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Providence Medical Group · other name

Authorized official

Mr. Todd S. Kennedy
President
(251) 633-1660

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1083043178

Alabama Providence Healthcare Services's National Provider Identifier is 1083043178, issued on Nov 8, 2013. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Mobile, AL. The record was last updated on Sep 28, 2015.