PROVIDENCE HEALTHCARE SERVICES

MOBILE, AL
NPI1215214283
Doing Business AsPROVIDENCE MEDICAL GROUP
Entity TypeOrganization
Authorized ContactCLARK P. CHRISTIANSON
President
251-631-3574
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
Enumeration Date2011-11-04
Last Update Date2012-09-13
Business Address
PROVIDENCE HEALTHCARE SERVICES
5100 RANGELINE ROAD NORTH
MOBILE, AL 36619-9504
Phone number: 251-378-4000
Mailing Address
PROVIDENCE HEALTHCARE SERVICES
PO BOX 850489
MOBILE, AL 36685-0489
Phone number: 251-342-3949