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Organization
UNIVERSITY OF SOUTH ALABAMA
Active
Organization
UNIVERSITY OF SOUTH ALABAMA
Active
Parent organization
UNIVERSITY OF SOUTH ALABAMA
Other names
USA Family Medicine
Organization subpart
Yes
Provider details
NPI number
Legal business name
UNIVERSITY OF SOUTH ALABAMA
Authorized official
HARVEY IKNER (ASSO ADMIN FOR AMBULATORY CLINICS)
(251) 470-1671
Entity
Organization
Contact information
Practice address
1504 SPRING HILL AVE, STE 1800, MOBILE, AL 36604-3207
(251) 434-3475
(251) 434-3837
Mailing address
PO BOX 40480, MOBILE, AL 36640-0480
(251) 434-3626
(251) 445-2464
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
03/02/2016
Last updated
03/02/2016
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