Alabama Providence Healthcare Services
May also be knows as Providence Medical Group
Family Medicine Physician in Mobile, AL(View on Map)
Legal Business Name
Alabama Providence Healthcare Services
Also Known As
Providence Medical Group
NPI Number
1083043178
NPI Type
Organization
Enumeration Date
11/08/2013
Specialties
(Taxonomies)Code
207Q00000X
207R00000X
208000000X
Primary Taxonomy
Yes
No
No
Contact
Information
Purpose
Mailing
Location
Address
PO BOX 850489
610 PROVIDENCE PARK DR E
City
Mobile
Mobile
State
AL
AL
Postal Code
36685-0489
36695-4622
Country
US
US
Telephone Number
(251) 342-3949
(251) 639-5070
Authorized Official
Name
Mr. Todd Kennedy
Title or Position
PRESIDENT
Telephone Number
(251) 633-1660
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 09/28/2015
Provider Address
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