Organization
SELF AND SELF COMPANY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KARL STANLEY SELF M.D. (OWNER/PRESIDENT)
(251) 928-8760
Entity
Organization
Contact information
Practice address
306 GREENO RD S, SUITE A, FAIRHOPE, AL 36532-1905
(251) 928-8760
(251) 928-7028
Mailing address
306 GREENO RD S, SUITE A, FAIRHOPE, AL 36532-1905
(251) 928-8760
(251) 928-7028
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
—
—
Other
Enumeration date
12/28/2012
Last updated
03/17/2015
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