| Atlas Respiratory | |
|
3510 Montlimar Plaza Dr Ste 100 Mobile AL 36609-1746 | |
| (251) 380-0215 | |
| Not Available |
| Full Name | Atlas Respiratory |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 3510 Montlimar Plaza Dr Ste 100, Mobile, Alabama |
| Authorized Official Name and Position | Jerry M. Mott (PRESIDENT) |
| Authorized Official Contact | 2513800215 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Atlas Respiratory 1140 Shiloh Ct Mobile AL 36609-3069 Ph: (251) 380-0215 | Atlas Respiratory 3510 Montlimar Plaza Dr Ste 100 Mobile AL 36609-1746 Ph: (251) 380-0215 |
| NPI Number | 1801884515 |
|---|---|
| Provider Enumeration Date | 10/07/2005 |
| Last Update Date | 09/27/2023 |
| Certification Date | 09/27/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801884515 | NPI | - | NPPES |
| 51500924 | Other | AL | BCBS PROVIDER NUMBER |
| 510-A512 | Other | AL | BCBS PROVIDER NUMBER |
| 0132338 | Other | AL | NCPDP NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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