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Organization

P R H PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BILL NUNNELLY (ADMINISTRATOR)
(256) 764-9697
Entity
Organization

Contact information

Practice address
2890 DAUPHIN ST, MOBILE, AL 36606-2457
(251) 473-2020
(205) 322-1305
Mailing address
216 MARENGO ST, SUITE F, FLORENCE, AL 35630-6012
(256) 764-9697
(256) 764-9699

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary

Other

Enumeration date
05/16/2006
Last updated
11/24/2010
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