# MOBILE OBSTETRICS AND GYNECOLOGY PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Mobile OB-Gyn PC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417063637
- **Authorized official:** MRS. NICOL FORTNER (CREDENTIALING)
- **Authorized official phone:** (251) 633-0793

## Contact information

- **Practice address:** 6701 AIRPORT BLVD STE B321, MOBILE, AL 36608-6703
- **Practice address phone:** (251) 633-0793
- **Practice address fax:** (251) 633-0736
- **Mailing address:** 6701 AIRPORT BLVD STE B321, MOBILE, AL 36608-6703
- **Mailing address phone:** (251) 633-0793
- **Mailing address fax:** (251) 633-0736

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/21/2006
- **Last updated:** 08/15/2022