PATHWAY HEALTHCARE ALABAMA LLC NPI 1194208389

NPI Information

PATHWAY HEALTHCARE ALABAMA LLC is an addiction medicine family medicine in Mobile, AL. The provider is a family medicine physician who specializes in the diagnosis and treatment of addictions. PATHWAY HEALTHCARE ALABAMA LLC NPI is 1194208389. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

580 PROVIDENCE PARK DR E STE 125
MOBILE, AL
ZIP 36695-614
Phone: (251) 219-9810

The provider's authorized official is Jennifer Mcearl .
The authorized official title is Business Office and has the following contact phone number (731) 891-0708.

The CLIA number assigned to this NPI record is 01D2174173 - other - outpt addiction medicine with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/13/2018 and was last updated on 9/13/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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