institution
South Alabama Medical Clinic, Llc
Rural Health Clinic/Center in Grand Bay, Alabama
NPI 1811288038

South Alabama Medical Clinic, Llc is a Rural Health Clinic/Center based in Grand Bay, AL and is specialized in Rural 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. 1-072232 (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
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
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
01-3966 01 AL MEDICARE RHC
institution
Provider Business Practice Location Address Details
Address
10075 Grand Bay Wilmer Rd S
City
State
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
State
Zip
36541-5003
Phone Number
251-865-1852
Fax Number
251-865-1854
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
(Alabama)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rural Health
Taxonomy
License No.
1-072232 (Alabama)
Definition
Definition to come...
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