| University Of South Alabama | |
| 
					1601 Center St Ste 2s Mobile AL 36604-1541  | |
| (251) 660-5108 | |
| (251) 660-5792 | 
| Full Name | University Of South Alabama | 
|---|---|
| Speciality | Psychiatry & Neurology - Neurology | 
| Location | 1601 Center St Ste 2s, Mobile, Alabama | 
| Authorized Official Name and Position | Glen Owen Bailey (CEO) | 
| Authorized Official Contact | 2514717118 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| University Of South Alabama Po Box 40480 Mobile AL 36640-0480 Ph: (251) 434-3626  | University Of South Alabama 1601 Center St Ste 2s Mobile AL 36604-1541 Ph: (251) 660-5108  | 
| NPI Number | 1780043364 | 
|---|---|
| Provider Enumeration Date | 02/11/2016 | 
| Last Update Date | 07/21/2022 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1780043364 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary | 
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