NPI 1629028642 · live from the CMS NPI Registry
Carmel Health Network
Pediatrics, Adolescent Medicine in Mobile, AL. National Provider Identifier 1629028642, active.
NPI record
| NPI | 1629028642 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Pediatrics, Adolescent Medicine 2080A0000X |
| Practice location | 1653 Springhill Ave, Mobile, AL 36604 |
| Practice phone | 251-433-1146 |
| Mailing address | Po Box 40475, Mobile, AL 36640 |
| Enumerated | May 11, 2006 |
| Last updated | August 22, 2020 |
| Authorized official | Jennifer Allen Johnson, Director |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatrics, Adolescent Medicine primary | 2080A0000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.