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UNIVERSITY OF SOUTH ALABAMA NPI 1740649334


NPI Information

NPI: 1740649334
Provider Name: UNIVERSITY OF SOUTH ALABAMA

Doing Business As: USA PEDIATRIC DEVELOPMENTAL

Classification: Pediatrics - 2080P0006X
Entity Type: Organization

Specialization: Developmental - Behavioral Pediatrics

Address:
1601 CENTER ST STE 1S
MOBILE, AL
ZIP 36604
Phone: (251) 410-5437
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UNIVERSITY OF SOUTH ALABAMA is a developmental - behavioral pediatrics pediatrics in Mobile, AL. The provider is a developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development. UNIVERSITY OF SOUTH ALABAMA NPI is 1740649334. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Usa Pediatric Developmental.

The provider's business location address is:

1601 CENTER ST STE 1S
MOBILE, AL
ZIP 36604-541
Phone: (251) 410-5437
Fax: (251) 415-8578

The provider's authorized official is Glen Owen Bailey .
The authorized official title is Ceo and has the following contact phone number (251) 471-7118.

The enumeration date for this NPI number is 2/11/2016 and was last updated on 8/4/2017.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12080P0006XPediatricsDevelopmental - Behavioral PediatricsYes

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

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