Organization
UNIVERSITY OF SOUTH ALABAMA HEALTH SERVICES FOUNDATION
Active
Other names
USAHSF Neurology
Organization subpart
No
Provider details
NPI number
Authorized official
BECKY S. TATE (CHIEF EXECUTIVE OFFICER)
(251) 470-5842
Entity
Organization
Contact information
Practice address
3301 KNOLLWOOD DR, MED PK 4, MOBILE, AL 36693-7003
(251) 660-5108
(251) 660-5792
Mailing address
PO BOX 40480, MOBILE, AL 36640-0480
(251) 470-5842
(251) 470-5809
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09013687
—
MS
05
—
528202190
—
AL
Enumeration date
12/13/2006
Last updated
12/02/2013
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