Organization
ALABAMA PROVIDENCE HEALTHCARE SERVICES
Active
Other names
d/b/a Providence Neurology Services
Organization subpart
No
Provider details
NPI number
Authorized official
ERICA MADISON (CREDENTIALING SPECIALIST)
(251) 342-3949
Entity
Organization
Contact information
Practice address
6701 AIRPORT BLVD, STE B215, MOBILE, AL 36608-6705
(251) 633-0001
Mailing address
PO BOX 850489, MOBILE, AL 36685-0489
(251) 342-3949
(251) 631-3361
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
11/21/2016
Last updated
11/21/2016
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