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Organization
MIZELL HEALTHCARE LLC
Active
Organization
MIZELL HEALTHCARE LLC
Active
Other names
Southern Family Urgent Care Mobile
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BABETTE JACKSON (ADMINISTRATOR)
(251) 802-3595
Entity
Organization
Contact information
Practice address
1962 SPRING HILL AVE, MOBILE, AL 36607-2304
(251) 802-3595
Mailing address
PO BOX 787, GRAND BAY, AL 36541-0787
(251) 802-3595
(228) 896-7174
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
293842
—
AL
Enumeration date
10/11/2022
Last updated
02/14/2023
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