Organization
USCG
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN ALLEN (MEDICAL ADMINISTRATOR)
(251) 441-6411
Entity
Organization
Contact information
Practice address
USCG ATC MOBILE, 8501 TANNER WILLIAMS ROAD, MOBILE, AL 36608
(251) 441-6725
Mailing address
101 FOREMAN ROAD APT C34, MOBILE, AL 36608
(707) 364-0116
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
—
—
Other
Enumeration date
09/26/2006
Last updated
08/22/2020
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