Organization
IMC- MOBILE OB/GYN CTR PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOYCE AUSTIN (OFFICE MANAGER)
(251) 433-1887
Entity
Organization
Contact information
Practice address
3 MOBILE INFIRMARY CIR, SUITE 201C, MOBILE, AL 36607-3520
(251) 433-1887
(251) 433-1929
Mailing address
3 MOBILE INFIRMARY CIR, SUITE 201C, MOBILE, AL 36607-3520
(251) 433-1887
(251) 433-1929
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
3443
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51003216
BLUE CROSS BLUE SHIELD
AL
01
—
C038
MEDICARE LEGACY
AL
Enumeration date
09/12/2007
Last updated
01/17/2008
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