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Organization
ALABAMA PROVIDENCE HEALTHCARE SERVICES
Active
Organization
ALABAMA PROVIDENCE HEALTHCARE SERVICES
Active
Parent organization
ALABAMA PROVIDENCE HEALTHCARE SERVICES
Other names
Ascension Providence Diabetes Management Program
Organization subpart
Yes
Provider details
NPI number
Legal business name
ALABAMA PROVIDENCE HEALTHCARE SERVICES
Authorized official
MIRANDA HEMM (ENROLLMENT MANAGER)
(904) 450-6004
Entity
Organization
Contact information
Practice address
6701 AIRPORT BLVD STE D436, MOBILE, AL 36608-6705
(251) 266-1987
(251) 266-2070
Mailing address
6701 AIRPORT BLVD STE D436, MOBILE, AL 36608-6705
(251) 266-1987
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
NULL
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
—
Other
Enumeration date
06/29/2021
Last updated
06/29/2021
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