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Organization
ATC MEDICAL
Active
Organization
ATC MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTIN CRAIG PEASE (HS3)
(251) 441-6560
Entity
Organization
Contact information
Practice address
8501 TANNER WILLIAMS RD, MOBILE, AL 36608-8322
(251) 441-6560
Mailing address
900 DOWNTOWNER BLVD APT 143, MOBILE, AL 36609-9405
Taxonomy
Speciality
Code
Description
License number
State
2865M2000X
Military General Acute Care Hospital
Primary
—
AL
Other
Enumeration date
10/26/2006
Last updated
07/21/2022
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