Organization
PATHWAY HEALTHCARE ALABAMA LLC
Active
Parent organization
PATHWAY HEALTHCARE ALABAMA, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
PATHWAY HEALTHCARE ALABAMA, LLC
Authorized official
JENNIFER MCEARL (BUSINESS OFFICE)
(731) 891-0708
Entity
Organization
Contact information
Practice address
580 PROVIDENCE PARK DR E STE 125, MOBILE, AL 36695-4614
(251) 219-9810
Mailing address
580 PROVIDENCE PARK DR E STE 125, MOBILE, AL 36695-4614
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
—
—
Other
Enumeration date
09/13/2018
Last updated
09/13/2018
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