# UNIVERSITY OF SOUTH ALABAMA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** USACW Anes
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265615025
- **Authorized official:** STANLEY K HAMMACK (VP FOR HEALTH SYSTEMS)
- **Authorized official phone:** (251) 471-7010

## Contact information

- **Practice address:** 1700 CENTER ST, MOBILE, AL 36604-3301
- **Practice address phone:** (251) 415-1000
- **Mailing address:** PO BOX 40010, MOBILE, AL 36640-0010
- **Mailing address phone:** (251) 434-3505

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | NULL | Yes |
| 207L00000X | Anesthesiology Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/14/2007
- **Last updated:** 12/14/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 09014887 | — | MS |