Organization
UNIVERSITY OF SOUTH ALABAMA
Active
Parent organization
UNIVERSITY OF SOUTH ALABAMA
Other names
USA Psychiatry
Organization subpart
Yes
Provider details
NPI number
Legal business name
UNIVERSITY OF SOUTH ALABAMA
Authorized official
HARVEY IKNER (ASSO ADMIN OF AMBULATORY CLINICS)
(251) 470-1671
Entity
Organization
Contact information
Practice address
1015 MONTLIMAR DR, STE A-210, MOBILE, AL 36609-1713
(251) 460-7189
(251) 460-6369
Mailing address
PO BOX 40480, MOBILE, AL 36640-0480
(251) 434-3626
(251) 445-2464
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
02/11/2016
Last updated
02/11/2016
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