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Providence Healthcare Services
Gynecologic Oncology Physician in Gulf Shores, Alabama
NPI 1801188503

Providence Healthcare Services is a Gynecologic Oncology Physician based in Mobile, AL and is specialized in Gynecologic Oncology. Providence Healthcare Services practices in Gulf Shores, AL. The NPI Number for Providence Healthcare Services is 1801188503 and holds a License No. 940365 (Alabama).

The current practice location address for Providence Healthcare Services is 253 Professional Ln, Gulf Shores, AL and can be reached out via phone at 251-631-3490 and via fax at 251-631-3461. You can also correspond with Providence Healthcare Services through the mailing address at PO BOX 850489, MOBILE, AL - 36685-0489 (mailing address contact number: 251-342-3949).

Location: 253 Professional Ln, Gulf Shores, AL, 36685-0489
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1801188503
Provider Name
Providence Healthcare Services
Credential
Provider Entity Type
Organization
Address
253 Professional Ln, Gulf Shores, AL, 36685-0489
Phone Number
251-631-3490
Fax Number
251-631-3461
Provider Enumeration Date
05/12/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
529907120 05 AL
institution
Provider Business Practice Location Address Details
Address
253 Professional Ln
City
Gulf Shores
State
Alabama
Zip
36542-3461
Phone Number
251-631-3490
Fax Number
251-631-3461
person
Provider Business Mailing Address Details
Address
Po Box 850489
City
Mobile
State
Alabama
Zip
36685-0489
Phone Number
251-342-3949
Fax Number
251-631-3361
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
Gynecologic Oncology
Taxonomy
207VX0201X
License No.
940365 (Texas)
Definition
An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications.
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