Organization
BAPTIST SOUTH ED OBSERVATION UNIT PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDAL L DBBS MD (PRESIDEMT)
(865) 293-5210
Entity
Organization
Contact information
Practice address
2105 E SOUTH BLVD, MONTGOMERY, AL 36116-2409
(334) 288-2100
Mailing address
1643 NW 136TH AVE STE 100, SUNRISE, FL 33323-2857
(800) 424-3672
(954) 377-3042
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
208M00000X
Hospitalist Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
06/14/2021
Last updated
06/14/2021
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