University Of South Alabama
Pediatrics, Pediatric Hematology-Oncology in Mobile, AL. Organization (NPI-2).
NPI number1124489604
StatusActive
Last updated in NPPESJul 21, 2022
Details
- NPI
- 1124489604
- Entity type
- Organization (NPI-2)
- Legal business name
- University Of South Alabama
- Organization subpart
- No
- Enumeration date
- Mar 11, 2016
- Last updated
- Jul 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2080P0207X | Pediatrics, Pediatric Hematology-Oncology | – | – | Yes |
Other names
- USA Hematology & Oncology- Pediatrics (Doing Business As)
Practice location
1601 Center St Ste 1sMobile, AL 36604-1541
Phone 251-410-5437 · Fax 251-434-3852
Mailing address
Po Box 40480Mobile, AL 36640-0480
Phone 251-434-3626 · Fax 251-445-2464
Authorized official
Glen Owen Bailey
Ceo
2514717118
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