Organization · Type 2 NPI

Heart Group of the Eastern Shore, P.c.

Clinic/Center · Fairhope, AL

NPI number 1609095157 Active

Practice location

150 S. Ingleside Street, #4 Medical Park
Fairhope, AL 36532-1804

Fax (251) 990-1921

Mailing address

PO Box 850266
Mobile, AL 36685-0266

Specialties and licenses

TaxonomyCodeLicense
Specialist 174400000X25610 (AL)
Clinic/Center Primary 261Q00000XNone listed

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

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About NPI 1609095157

Heart Group of the Eastern Shore, P.c.'s National Provider Identifier is 1609095157, issued on Apr 24, 2007. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Fairhope, AL. The record was last updated on Dec 9, 2013.