Organization
UNIVERSITY OF SOUTH ALABAMA
Active
Other names
USA CRNA
Organization subpart
No
Provider details
NPI number
Authorized official
STANLEY K HAMMACK (VP FOR HEALTH SYSTEMS)
(251) 471-7010
Entity
Organization
Contact information
Practice address
2451 FILLINGIM ST, MOBILE, AL 36617-2238
(251) 471-7000
Mailing address
PO BOX 40010, MOBILE, AL 36640-0010
(251) 434-3505
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04553213
—
MS
Enumeration date
12/14/2007
Last updated
07/16/2008
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