Organization
US COAST GUARD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA VINLOVE (CLINIC ADMINISTRATOR)
(251) 441-6560
Entity
Organization
Contact information
Practice address
8501 TANNER WILLIAMS RD, MOBILE, AL 36608-8322
(251) 441-6560
Mailing address
8501 TANNER WILLIAMS RD, MOBILE, AL 36608-8322
Taxonomy
Speciality
Code
Description
License number
State
261QM1100X
Military/U.S. Coast Guard Outpatient Clinic/Center
Primary
—
—
Other
Enumeration date
07/31/2013
Last updated
07/31/2013
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