Organization
UNIVERSITY OF SOUTH ALABAMA HEALTH CARE AUTHORITY
Active
Organization
UNIVERSITY OF SOUTH ALABAMA HEALTH CARE AUTHORITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERICA MADISON (CREDENTIALING)
(251) 318-2681
Entity
Organization
Contact information
Practice address
7885 MOFFETT RD, SEMMES, AL 36575-5487
(251) 660-5840
(251) 660-5841
Mailing address
3929-1 AIRPORT BLVD, 5TH FLOOR, ROOM 513, MOBILE, AL 36609
(251) 318-2681
(251) 378-6222
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
01/08/2020
Last updated
04/06/2021
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