Organization
MOBILE PEDIATRIC CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY W COLLINS (BILLING MANAGER)
(251) 610-1618
Entity
Organization
Contact information
Practice address
1835 OLD SHELL RD, MOBILE, AL 36607-3416
(251) 706-8170
(251) 706-8098
Mailing address
PO BOX 91899, MOBILE, AL 36691-1899
(251) 706-8170
(251) 706-8098
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
137033
—
AL
Enumeration date
02/24/2012
Last updated
11/15/2022
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