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South Alabama Medical Clinic, Llc
Psychiatric/Mental Health Nurse Practitioner in Grand Bay, Alabama
NPI 1811288038

South Alabama Medical Clinic, Llc is a Psychiatric/Mental Health Nurse Practitioner based in Grand Bay, AL and is specialized in Psychiatric/Mental Health. South Alabama Medical Clinic, Llc practices in Grand Bay, AL. The NPI Number for South Alabama Medical Clinic, Llc is 1811288038 and holds a License No. (Alabama).

The current practice location address for South Alabama Medical Clinic, Llc is 10075 Grand Bay Wilmer Rd S, Grand Bay, AL and can be reached out via phone at 251-865-1852 and via fax at 251-865-1854.

Location: 10075 Grand Bay Wilmer Rd S, Grand Bay, AL, 36541-5003
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1811288038
Provider Name
South Alabama Medical Clinic, Llc
Credential
Provider Entity Type
Organization
Address
10075 Grand Bay Wilmer Rd S, Grand Bay, AL, 36541-5003
Phone Number
251-865-1852
Fax Number
251-865-1854
Provider Enumeration Date
04/21/2011
Last Update Date
09/14/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
140171 01 AL RURAL HEALTH MEDICAID
129323 05 AL
institution
Provider Business Practice Location Address Details
Address
10075 Grand Bay Wilmer Rd S
City
Grand Bay
State
Alabama
Zip
36541-5003
Phone Number
251-865-1852
Fax Number
251-865-1854
person
Provider Business Mailing Address Details
Address
10075 Grand Bay Wilmer Rd S
City
Grand Bay
State
Alabama
Zip
36541-5003
Phone Number
251-865-1852
Fax Number
251-865-1854
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
(Alabama)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
-
Taxonomy
208000000X
License No.
()
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
person
Provider's Taxonomy Details 4
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 5
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
1-072232 (Alabama)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
person
Provider's Taxonomy Details 6
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
person
Provider's Taxonomy Details 7
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rural Health
Taxonomy
261QR1300X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 8
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
()
Definition
Definition to come...
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