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Organization

SOUTHERN MEDICAL & MOBILITY INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. HAROLD FREDERICK COMPTON JR. (CEO/PRESIDENT)
(251) 633-4133
Entity
Organization

Contact information

Practice address
1416 W I65 SERVICE RD S, MOBILE, AL 36693-5100
(251) 633-4133
(251) 633-4575
Mailing address
1416 W I65 SERVICE RD S, MOBILE, AL 36693-5100
(251) 633-4133
(251) 633-4575

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
490041319
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
009987760
AL
05
02726271
MS
01
1230240
HEALTHSPRING/SENIORS FIRS
AL
01
1640450
MEDICAID OF LA.
AL
01
51507156
BLUE CROSS ALABAMA
AL
01
950633
PRIME HEALTH
AL
Enumeration date
09/07/2005
Last updated
11/20/2009
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