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Organization
P R H PC
Active
Organization
P R H PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BILL NUNNELLY (ADMINISTRATOR)
(256) 764-9697
Entity
Organization
Contact information
Practice address
2890 DAUPHIN ST, MOBILE, AL 36606-2457
(251) 473-2020
(205) 322-1305
Mailing address
216 MARENGO ST, SUITE F, FLORENCE, AL 35630-6012
(256) 764-9697
(256) 764-9699
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
NULL
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
05/16/2006
Last updated
11/24/2010
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