Provider Demographics
NPI:1467464933
Name:INFECTION LIMITED P C
Entity Type:Organization
Organization Name:INFECTION LIMITED P C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:P
Authorized Official - Last Name:BOSARGE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:251-633-4311
Mailing Address - Street 1:6701 AIRPORT BLVD
Mailing Address - Street 2:B329
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36608-6756
Mailing Address - Country:US
Mailing Address - Phone:251-633-4311
Mailing Address - Fax:251-639-0919
Practice Address - Street 1:6701 AIRPORT BLVD
Practice Address - Street 2:B329
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36608-6756
Practice Address - Country:US
Practice Address - Phone:251-633-4311
Practice Address - Fax:251-639-0919
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-13
Last Update Date:2009-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious DiseaseGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty