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Organization

IMC MOBILE BAY OBGYN CENTER PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
R BARRE SANDERS (DIRECTOR OFFICER)
(251) 435-2400
Entity
Organization

Contact information

Practice address
3 MOBILE INFIRMARY CIR, STE 201, MOBILE, AL 36607-3514
(251) 435-7900
(251) 435-6261
Mailing address
3 MOBILE INFIRMARY CIR, STE 201, MOBILE, AL 36607-3514
(251) 435-7900
(251) 435-6261

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0552570001
CIGNA
AL
05
528902340
AL
Enumeration date
06/17/2006
Last updated
02/21/2013
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