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Organization

UNIVERSITY OF SOUTH ALABAMA HEALTH SERVICES FOUNDATION

Active
Other names
USAHSF High Risk ObGyn
Organization subpart
No

Provider details

NPI number
Authorized official
BECKY S TATE (CHIEF EXECUTIVE OFFICER)
(251) 470-5842
Entity
Organization

Contact information

Practice address
1707 CENTER STREET, SUITE 102, MOBILE, AL 36604-3305
(251) 415-1496
(251) 415-1450
Mailing address
PO BOX 40480, MOBILE, AL 36640-0480
(251) 434-3626
(251) 445-2464

Taxonomy

Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary

Other

Enumeration date
05/18/2015
Last updated
05/18/2015
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