# UNIVERSITY OF SOUTH ALABAMA HEALTH CARE AUTHORITY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** University OB-GYN
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609489178
- **Authorized official:** ERICA MADISON (CREDENTIALING)
- **Authorized official phone:** (251) 318-2681

## Contact information

- **Practice address:** 524 STANTON RD, MOBILE, AL 36617-2343
- **Practice address phone:** (251) 479-0058
- **Practice address fax:** (251) 479-1585
- **Mailing address:** 3929-1 AIRPORT BLVD, 5TH FLOOR, ROOM 5113, MOBILE, AL 36609
- **Mailing address phone:** (251) 318-2681
- **Mailing address fax:** (251) 378-6222

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/25/2020
- **Last updated:** 04/08/2021