OrganizationActive
Alabama Providence Healthcare Services
NPI 1093241671 · Otolaryngology Physician · Mobile, AL
Provider details
- NPI number
- 1093241671
- Entity type
- Organization
- Primary specialty
- Otolaryngology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Erica Madison, Credentialing Specialist(251) 342-3949
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
6701 Airport Blvd
Suite B123
Mobile, AL 36608-6705
Phone: (251) 342-3949
Fax: (251) 631-3361
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 850489
Mobile, AL 36685-0489
Other names (DBA / former)
- Doing business as
- Providence Medical Group - Ent
Registry dates
- Enumerated
- 2017-05-03
- Last updated
- 2017-05-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.