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Organization
ALABAMA PROVIDENCE HEALTHCARE SERVICES
Active
Organization
ALABAMA PROVIDENCE HEALTHCARE SERVICES
Active
Other names
Providence Medical Group-Foley
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TODD KENNEDY (PRESIDENT)
(251) 633-8880
Entity
Organization
Contact information
Practice address
1851 N MCKENZIE ST, SUITE 206, FOLEY, AL 36535-4700
(251) 342-3949
(251) 631-3361
Mailing address
6701 AIRPORT BLVD, SUITE 143, MOBILE, AL 36608-6705
(251) 342-3949
(251) 631-3361
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
02/16/2016
Last updated
02/16/2016
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