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Organization

UNIVERSITY OF SOUTH ALABAMA HEALTH SERVICES FOUNDATION

Active
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Organization

UNIVERSITY OF SOUTH ALABAMA HEALTH SERVICES FOUNDATION

Active
Other names
USAHSF Pediatrics Specialty
Organization subpart
No

Provider details

NPI number
Authorized official
BECKY S. TATE (CHIEF EXECUTIVE OFFICER)
(251) 470-5842
Entity
Organization

Contact information

Practice address
1504 SPRING HILL AVE, MOBILE, AL 36604-3207
(251) 405-5147
(251) 434-3852
Mailing address
PO BOX 40480, MOBILE, AL 36640-0480
(251) 470-5842
(251) 470-5809

Taxonomy

Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
09013347
MS
05
529926020
AL
Enumeration date
12/13/2006
Last updated
12/11/2013
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