Organization
MOBILE BAY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRI HANKINSON (COMPANY MANAGER)
(251) 706-7960
Entity
Organization
Contact information
Practice address
3281 BEL AIR MALL, SUITE G18A, MOBILE, AL 36606-3207
(251) 336-8478
Mailing address
1651 SCHILLINGER RD N, SEMMES, AL 36575-7409
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/03/2015
Last updated
09/03/2015
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