Organization
UNIVERSITY OF SOUTH ALABAMA
Active
Other names
USA Endocrinology- Adult
Organization subpart
No
Provider details
NPI number
Authorized official
GLEN OWEN BAILEY (CEO)
(251) 471-7118
Entity
Organization
Contact information
Practice address
2451 FILLINGIM ST, MASTIN BLDG 102, MOBILE, AL 36617-2238
(251) 470-5890
(251) 471-7925
Mailing address
PO BOX 40480, MOBILE, AL 36640-0480
(251) 434-3626
(251) 445-2464
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
—
Other
Enumeration date
03/02/2016
Last updated
07/21/2022
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