Organization
CRISIS HOSPITALIST STAFFING SOLUTIONS LLC
Active
Other names
NICOLE VANNOR KERSH, MD
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE VANNOR KERSH M.D. (OWNER)
(251) 988-1117
Entity
Organization
Contact information
Practice address
750 MORPHY AVE, FAIRHOPE, AL 36532-1812
(251) 988-1117
Mailing address
82 PLANTATION POINTE # 300, FAIRHOPE, AL 36532-2962
(251) 988-1117
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
30174
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
137976
—
AL
01
—
51125157
BLUE CROSS
AL
Enumeration date
04/18/2012
Last updated
07/05/2012
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