Organization
PROVIDENCE HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS JINNI L FRISBEY MED, ATC (CERTIFIED HEAD ATHLETIC TRAINER)
(251) 442-2361
Entity
Organization
Contact information
Practice address
6351 WOODSIDE DR, THEODORE, AL 36582-6061
(251) 442-2361
Mailing address
6351 WOODSIDE DR, THEODORE, AL 36582-6061
Taxonomy
Speciality
Code
Description
License number
State
283X00000X
Rehabilitation Hospital
Primary
—
—
Other
Enumeration date
11/30/2006
Last updated
08/22/2020
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