Individual
MR. ERNEST J MCCORMICK III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
2866 DAUPHIN ST STE D, MOBILE, AL 36606-2482
(251) 471-6294
Mailing address
7146 ASHTON CT, MOBILE, AL 36695-4324
(251) 634-8548
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PTH 2253
LICENSE
AL
Enumeration date
08/30/2006
Last updated
03/22/2023
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