# EASTERN SHORE URGENT CARE LLC

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

## Provider details

- **NPI number:** 1376706275
- **Authorized official:** MICHAEL MAHONEY MD (OWNER)
- **Authorized official phone:** (251) 626-3782

## Contact information

- **Practice address:** 29710 URGENT CARE DRIVE, DAPHNE, AL 36526
- **Practice address phone:** (251) 626-3782
- **Mailing address:** PO BOX 640, DAPHNE, AL 36526-0640
- **Mailing address phone:** (251) 602-6996
- **Mailing address fax:** (251) 666-8398

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/10/2008
- **Last updated:** 07/10/2008