NPI 1104644160 · live from the CMS NPI Registry
Usa Health Community Providers LLC
Dermatology in Mobile, AL. National Provider Identifier 1104644160, active.
NPI record
| NPI | 1104644160 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dermatology 207N00000X |
| Practice location | 4300 Old Shell Rd, Mobile, AL 36608 |
| Practice phone | 251-342-7880 |
| Mailing address | Po Box 36258, Belfast, ME 04915 |
| Enumerated | September 30, 2024 |
| Last updated | September 30, 2024 |
| Authorized official | Benny Stover, Cfo |
| Other names | Usa Health Community-Dermatology |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dermatology primary | 207N00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.