Organization
FOCUS-MD COM-1006-AL, LLC
Active
Other names
FOCUS MD
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE COLE (CREDENTIALING COORDINATOR)
(251) 300-2060
Entity
Organization
Contact information
Practice address
28080 US HIGHWAY 98, SUITE F, DAPHNE, AL 36526-7005
(251) 517-9025
(251) 517-9026
Mailing address
PO BOX 8159, MOBILE, AL 36689-0159
(251) 414-5810
(251) 414-5809
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207RA0000X
Adolescent Medicine (Internal Medicine) Physician
Primary
—
—
208000000X
Pediatrics Physician
—
—
2080P0006X
Developmental - Behavioral Pediatrics Physician
—
—
Other
Enumeration date
12/07/2012
Last updated
12/07/2012
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