USA Health Community Providers LLC

Organization Active NPI Dermatology Physician · Mobile, AL

NPI 1104644160 · NPPES record last updated Sep 30, 2024

Key facts

NPI
1104644160
Entity type
Organization (NPI type 2)
Primary specialty
Dermatology Physician 207N00000X
Legal business name
USA HEALTH COMMUNITY PROVIDERS LLC
Practice address
4300 Old Shell Rd
Mobile, AL 36608-2096
Phone
(251) 342-7880
NPI assigned
Sep 30, 2024
Organization subpart
No

Authorized official

Name
Benny Joseph Stover
Title
Cfo
Phone
(251) 445-9164

Corporate family (same tax ID) 17

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
USA Health Community Providers LLC (18 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207N00000X Yes

Addresses

Primary practice location

4300 Old Shell Rd
Mobile, AL 36608-2096

Mailing address

PO Box 36258
Belfast, ME 04915-1204
Phone (251) 318-2678

Other names

  • USA HEALTH COMMUNITY-DERMATOLOGY Doing business as

Other providers in Mobile, AL

All providers in Mobile, AL · Dermatology Physician in Alabama

Sources for this page

Verify at the official NPI Registry.