# SELF CENTER PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083832968
- **Authorized official:** KARL STANLEY SELF M.D. (OWNER)
- **Authorized official phone:** (251) 928-8760

## Contact information

- **Practice address:** 306 S GREENO RD, SUITE A, FAIRHOPE, AL 36532-1905
- **Practice address phone:** (251) 928-8760
- **Practice address fax:** (251) 928-7028
- **Mailing address:** 306 S GREENO RD, SUITE A, FAIRHOPE, AL 36532-1905
- **Mailing address phone:** (251) 928-8760
- **Mailing address fax:** (251) 928-7028

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 6916 | AL | Yes |

## Other

- **Enumeration date:** 04/23/2007
- **Last updated:** 06/13/2008