Organization
GULF COAST BEHAVIORAL MEDICINE P. C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONNIE ALLEN POLLARD M.D. (PRESIDENT)
(251) 965-2145
Entity
Organization
Contact information
Practice address
16478 US HIGHWAY 98, FOLEY, AL 36535-8598
(251) 965-2145
(251) 965-2149
Mailing address
16478 US HIGHWAY 98, FOLEY, AL 36535-8598
(251) 965-2145
(251) 965-2149
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
AL20541
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
122525
—
AL
Enumeration date
07/02/2012
Last updated
07/02/2012
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