Individual
KYLE MATTHEW MACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-S
Contact information
Practice address
2451 UNIVERSITY HOSPITAL DR, MOBILE, AL 36617-2300
(251) 471-7000
Mailing address
PO BOX 746450, ATLANTA, GA 30374-6450
(251) 434-3626
(251) 445-2464
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.1865
AL
Other
Enumeration date
07/31/2020
Last updated
10/26/2021
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