USCG

MOBILE, AL
NPI1396846739
Entity TypeOrganization
Authorized ContactJOHN ALLEN
Medical Administrator
251-441-6411
Organization Subpart ?No
Primary Taxonomy305R00000X Preferred Provider Organization
Enumeration Date2006-09-26
Last Update Date2020-08-22
Business Address
USCG
USCG ATC MOBILE 8501 TANNER WILLIAMS ROAD
MOBILE, AL 36608
Phone number: 251-441-6725
Mailing Address
USCG
101 FOREMAN ROAD APT C34
MOBILE, AL 36608
Phone number: 707-364-0116