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3421 Medical Park Dr Med Pk 2 Mobile AL 36693-3330 | |
(251) 665-8200 | |
(251) 665-8210 |
Full Name | |
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Speciality | Clinic/center - Multi-specialty |
Location | 3421 Medical Park Dr, Mobile, Alabama |
Authorized Official Name and Position | Becky S. Tate (CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 2514705842 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 40480 Mobile AL 36640-0480 Ph: (251) 470-5842 | 3421 Medical Park Dr Med Pk 2 Mobile AL 36693-3330 Ph: (251) 665-8200 |
NPI Number | 1386705267 |
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Provider Enumeration Date | 12/13/2006 |
Last Update Date | 12/02/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1386705267 | NPI | - | NPPES |
528201340 | Medicaid | AL | |
09013231 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
Sunbelt Patient Solutions Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5901 Airport Blvd Ste 203, Mobile, AL 36608 Phone: 504-648-7924 | |
Mobile County Board Of Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 251 N Bayou St, Mobile, AL 36603 Phone: 251-690-8158 Fax: 251-690-8852 | |
Bay Area Community Medicine, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3737 Government Blvd, Suite408, Mobile, AL 36693 Phone: 251-602-1911 |