# UNIVERSITY OF SOUTH ALABAMA HEALTH CARE AUTHORITY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** USA Endocrine and Diabetes
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346871167
- **Authorized official:** ERICA MADISON (CREDENTIALING)
- **Authorized official phone:** (251) 318-2681

## Contact information

- **Practice address:** 28260 US HIGHWAY 98, DAPHNE, AL 36526-7075
- **Practice address phone:** (251) 660-6300
- **Practice address fax:** (251) 660-6305
- **Mailing address:** 3929-1 AIRPORT BLVD, 5TH FLOOR, ROOM 513, MOBILE, AL 36609
- **Mailing address phone:** (251) 318-2681
- **Mailing address fax:** (251) 378-6222

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | NULL | Yes |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/30/2020
- **Last updated:** 04/06/2021