| Severin Grenoble Md Pc | |
|
3929 Airport Blvd Ste 1-206 Mobile AL 36609-2233 | |
| (251) 317-4040 | |
| Not Available |
| Full Name | Severin Grenoble Md Pc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 3929 Airport Blvd Ste 1-206, Mobile, Alabama |
| Authorized Official Name and Position | Severin Grenoble (OWNER) |
| Authorized Official Contact | 2513174040 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Severin Grenoble Md Pc 3929 Airport Blvd Ste 1-206 Mobile AL 36609-2233 Ph: (251) 317-4040 | Severin Grenoble Md Pc 3929 Airport Blvd Ste 1-206 Mobile AL 36609-2233 Ph: (251) 317-4040 |
| NPI Number | 1306296728 |
|---|---|
| Provider Enumeration Date | 06/16/2016 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306296728 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | MD30944 (Alabama) | Primary |
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