Organization
UNIVERSITY OF SOUTH ALABAMA
Active
Other names
USA Allied Health Professions
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GLEN OWEN BAILEY (CEO/CONTRACT OFFICER)
(251) 471-7118
Entity
Organization
Contact information
Practice address
1119 HAHN, 5721 USA NORTH DRIVE, MOBILE, AL 36688-0002
(251) 445-9378
(251) 445-9377
Mailing address
PO BOX 40480, MOBILE, AL 36640-0480
(251) 445-9378
(251) 445-9377
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
09/16/2010
Last updated
04/22/2019
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