Organization · Type 2 NPI

Alabama Providence Healthcare Services

Family Medicine Physician · Citronelle, AL

NPI number 1700215894 Active

Practice location

19140 S 3rd St
Citronelle, AL 36522-2306

Call (251) 866-0086 Map

Fax (251) 866-0089

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

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.

5 other providers at this address

Other family medicine physician providers in Citronelle

See all in Citronelle →

NPI record

NPI: 1700215894
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

<unavail>
Providence Medical Group · other name

Authorized official

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

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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 1700215894

Alabama Providence Healthcare Services's National Provider Identifier is 1700215894, issued on Nov 8, 2013. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Citronelle, AL. The record was last updated on Sep 28, 2015.