Organization
UNIVERSITY OF SOUTH ALABAMA HEALTH CARE AUTHORITY
Active
Organization
UNIVERSITY OF SOUTH ALABAMA HEALTH CARE AUTHORITY
Active
Other names
Mobile Diagnostic Center - Midtown
Organization subpart
No
Provider details
NPI number
Authorized official
ERICA MADISON (CREDENTIALING)
(251) 318-2681
Entity
Organization
Contact information
Practice address
2505 OLD SHELL RD, MOBILE, AL 36607-3021
(251) 660-6400
(251) 660-6401
Mailing address
3929-1 AIRPORT BLVD, 5TH FLOOR, ROOM 513, MOBILE, AL 36609
(251) 318-2681
(251) 378-6222
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—
Other
Enumeration date
11/04/2020
Last updated
04/08/2021
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