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Organization
MOBILE PEDIATRIC CLINIC LLC
Active
Organization
MOBILE PEDIATRIC CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY COLLINS (OWNER)
(251) 610-1618
Entity
Organization
Contact information
Practice address
6321 PICCADILLY SQUARE DR STE A, MOBILE, AL 36609-5305
(251) 342-8900
(251) 342-2333
Mailing address
PO BOX 91899, MOBILE, AL 36691-1899
(251) 706-8170
(251) 706-8098
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
156442
—
AL
Enumeration date
02/07/2014
Last updated
06/26/2020
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