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Organization
MISSISSIPPI PROVIDENCE HEALTHCARE SERVICES INC.
Active
Organization
MISSISSIPPI PROVIDENCE HEALTHCARE SERVICES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CLARK P. CHRISTIANSON (PRESIDENT)
(251) 633-1660
Entity
Organization
Contact information
Practice address
6701 AIRPORT BLVD, SUITE D430, MOBILE, AL 36608-6705
(251) 342-3949
(251) 631-3361
Mailing address
PO BOX 850489, MOBILE, AL 36685-0489
(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
10/08/2012
Last updated
10/08/2012
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