# SANSARICQ OB/GYN, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720261266
- **Authorized official:** MARISSA JADICK (CREDENTIALING)
- **Authorized official phone:** (251) 479-0058

## 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:** 524 STANTON RD, MOBILE, AL 36617-2343
- **Mailing address phone:** (251) 479-0058
- **Mailing address fax:** (251) 479-1585

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 17868 | AL | Yes |

## Other

- **Enumeration date:** 12/06/2007
- **Last updated:** 06/25/2025
