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Individual

CHRISTINE L FOUTY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
5 MOBILE INFIRMARY CIR, MOBILE, AL 36607-3513
(251) 545-4579
(251) 287-1466
Mailing address
3280 DAUPHIN ST, BUILDING B SUITE 118, MOBILE, AL 36606-4060
(251) 545-4579
(251) 287-1466

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD.26568
AL
208M00000X
Hospitalist Physician
Primary
MD.26568
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
009935351
AL
05
009935963
AL
05
009935964
AL
05
009935966
AL
05
009936029
AL
05
009938101
AL
01
1396774105
TRICARE SOUTH
AL
01
510-04617
BCBS
AL
01
515-32931
BCBS
AL
Enumeration date
07/02/2006
Last updated
12/17/2013
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