EXTENDED FAMILY MEDICAL CLINIC is a clinic center in Mobile, AL. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). EXTENDED FAMILY MEDICAL CLINIC NPI is 1720121395. The provider is registered as an organization entity type.
The provider's business location address is:
108 N CATHERINE ST
SUITE A
MOBILE, AL
ZIP 36604-304
Phone: (251) 438-7170
Fax: (251) 438-7173
The provider's authorized official is Angelia Deniese Blackmon .
The authorized official title is Medical Director and has the following contact phone number (251) 438-7170.
The CLIA number assigned to this NPI record is 01D1058526 - practitioner other with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 2/14/2007 and was last updated on 8/22/2020.