Providence Medical Group – Family Medicine Physician, NPI 1902000102
Family Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Providence Medical Group
Box Road, Millertown, Mobile County, Alabama, 36575, United States
MOBILE, AL 366850489
Phone: (251) 342-3949
Fax: (251) 631-3361
Type: Mailing
19140, South 3rd Street, Citronelle, Mobile County, Alabama, 36522, United States
CITRONELLE, AL 365222306
Phone: (251) 866-0086
Fax: (251) 866-0089
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 36685)
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