Organization
GMUC OF TILLMANS CORNER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DARREN WATERS MD (PARTNER)
(251) 633-0123
Entity
Organization
Contact information
Practice address
5100 RANGELINE SERVICE RD N, MOBILE, AL 36619-9504
(251) 633-0123
(251) 445-3722
Mailing address
5100 RANGELINE SERVICE RD N, MOBILE, AL 36619-9504
(251) 633-0123
(251) 445-3722
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
08/11/2014
Last updated
08/11/2014
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