PROVIDENCE HEALTHCARE SERVICES

MOBILE, AL
NPI1508878083
Doing Business AsPROVIDENCE MEDICAL GROUP
Entity TypeOrganization
Authorized ContactCLARK P. CHRISTIANSON
President
251-633-1660
Organization Subpart ?No
Primary Taxonomy207R00000X Internal Medicine
Additional Taxonomies207RR0500X Internal Medicine, Rheumatology
207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism
207RG0100X Internal Medicine, Gastroenterology
207VX0201X Obstetrics & Gynecology, Gynecologic Oncology
207Q00000X Family Medicine
Enumeration Date2006-08-12
Last Update Date2012-10-08
Business Address
PROVIDENCE HEALTHCARE SERVICES
6701 AIRPORT BLVD SUITE D430
MOBILE, AL 36608-6705
Phone number: 251-342-3949
Mailing Address
PROVIDENCE HEALTHCARE SERVICES
PO BOX 850489
MOBILE, AL 36685-0489
Phone number: 251-342-3949