Organization
CARDIOLOGY ASSOCIATES OF MOBILE INC
Active
Parent organization
CARDIOLOGY ASSOCIATES OF MOBILE INC
Other names
Cardiology Associates / Eastern Shore Internal Medicine
Organization subpart
Yes
Provider details
NPI number
Legal business name
CARDIOLOGY ASSOCIATES OF MOBILE INC
Authorized official
DR. GERRY M PHILLIPS M.D. (PRESIDENT/CHAIRMAN OF BOARD)
(251) 607-9797
Entity
Organization
Contact information
Practice address
6701 AIRPORT BLVD, SUITE D-330, MOBILE, AL 36608-6705
(251) 607-9797
Mailing address
6701 AIRPORT BLVD, SUITE D-330, MOBILE, AL 36608-6705
(251) 607-9797
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0119053
—
MS
01
—
2510092
UNITED HEALTHCARE
AL
01
—
510-38007
BLUE CROSS BLUE SHIELD
AL
Enumeration date
04/22/2008
Last updated
08/28/2017
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