Organization
UNIVERSITY OF SOUTH ALABAMA HEALTH CARE AUTHORITY
Active
Other names
University Urology
Organization subpart
No
Provider details
NPI number
Authorized official
ERICA MADISON (CREDENTIALING)
(251) 318-2681
Entity
Organization
Contact information
Practice address
3290 DAUPHIN ST, MOBILE, AL 36606-4062
(251) 633-8880
Mailing address
3929-1 AIRPORT BLVD, 5TH FLOOR, ROOM 513, MOBILE, AL 36606
(251) 318-2681
(251) 378-6222
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
09/06/2018
Last updated
04/29/2021
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