Organization
ALABAMA PROVIDENCE HEALTHCARE SERVICES
Active
Parent organization
ALABAMA PROVIDENCE HEALTHCARE SERVICES
Other names
Providence Medical Group
Organization subpart
Yes
Provider details
NPI number
Legal business name
ALABAMA PROVIDENCE HEALTHCARE SERVICES
Authorized official
MR. TODD S. KENNEDY (PRESIDENT)
(251) 633-1660
Entity
Organization
Contact information
Practice address
6701 AIRPORT BLVD, SUITE A101, MOBILE, AL 36608-6705
(251) 633-8880
(251) 633-2817
Mailing address
PO BOX 850489, MOBILE, AL 36685-0489
(251) 342-3949
(251) 631-3361
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—
207RG0100X
Gastroenterology Physician
—
—
207RR0500X
Rheumatology Physician
—
—
Other
Enumeration date
11/08/2013
Last updated
09/28/2015
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