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Organization

MOBILE OBSTETRICS AND GYNECOLOGY PC

Active
Other names
Mobile OB-Gyn PC
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. NICOL FORTNER (CREDENTIALING)
(251) 633-0793
Entity
Organization

Contact information

Practice address
6701 AIRPORT BLVD STE B321, MOBILE, AL 36608-6703
(251) 633-0793
(251) 633-0736
Mailing address
6701 AIRPORT BLVD STE B321, MOBILE, AL 36608-6703
(251) 633-0793
(251) 633-0736

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
207V00000X
TAXONOMY CODE
AL
05
528301400
AL
01
F789
BCBS-AL NUMBER
AL
Enumeration date
08/21/2006
Last updated
08/15/2022
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