Organization
ORTHOPAEDIC AND SPORTS MEDICINE OF MOBILE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. WENDY A STUCKEY (BILLING MANAGER)
(251) 631-3004
Entity
Organization
Contact information
Practice address
6701 AIRPORT BLVD, D146, MOBILE, AL 36608-6705
(251) 639-7283
(251) 639-7460
Mailing address
6701 AIRPORT BLVD, D146, MOBILE, AL 36608-6705
(251) 639-7283
(251) 639-7460
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
13229
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1083692479
NPI
AL
01
—
1265410658
NPI
AL
Enumeration date
07/14/2006
Last updated
08/22/2020
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