GMUC OF TILLMANS CORNER NPI 1386053783

NPI Information

NPI: 1386053783
Provider Name: GMUC OF TILLMANS CORNER
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
5100 RANGELINE SERVICE RD N
MOBILE, AL
ZIP 36619
Phone: (251) 633-0123
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GMUC OF TILLMANS CORNER is a general practice in Mobile, AL. GMUC OF TILLMANS CORNER NPI is 1386053783. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

5100 RANGELINE SERVICE RD N
MOBILE, AL
ZIP 36619-504
Phone: (251) 633-0123
Fax: (251) 445-3722

The provider's authorized official is Darren Waters .
The authorized official title is Partner and has the following contact phone number (251) 633-0123.

The enumeration date for this NPI number is 8/11/2014 and was last updated on 8/11/2014.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208D00000X	General Practice				Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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