Ford Psychiatry

NPI 1790177350 - Clinic/Center - 261QM0801X

NPI Details
NPI 1790177350
Enumeration Date 02/19/2015
Last Updated 02/19/2015
Entity Type Healthcare Provider
Active Over 1 year ago
Authorized Information
Name LISA DANITA LISA
Position OWNER
Phone (251) 343-5300
Fax
Practice Location
6341 PICCADILLY SQUARE DR
MOBILE AL, 36609-5103, US
Phone (251) 343-5300
Fax
Business Location
5701 OAKLEIGH TRACE CT
MOBILE AL, 36693-3076, US
Phone (513) 200-5110
Fax
Toxanomy
Taxonomy Code 261QM0801X
License State Alabama
License Number 33371
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According to our database, Ford Psychiatry NPI is 1790177350, taxonomy code is 261QM0801X and license number is 33371, license state is located at Alabama. Ford Psychiatry physically located at 6341 Piccadilly Square Dr, Mobile AL, 36609-5103. NPI Number 1033115704 has the healthcare provider type.

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1790177350 NPI number is provided on an as is basis without warranty of any kind. 1790177350 is maintained by the National Plan & Provider Enumeration System. The contents of Ford Psychiatry are for informational purposes only.