Provider Demographics
NPI:1942498480
Name:UNIVERSITY OF SOUTH ALABAMA HOSPTITAL
Entity Type:Organization
Organization Name:UNIVERSITY OF SOUTH ALABAMA HOSPTITAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:INTERN
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:GUAN-ZHONG
Authorized Official - Last Name:ZHAO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-931-6292
Mailing Address - Street 1:203 DE SALES AVE
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36607-2203
Mailing Address - Country:US
Mailing Address - Phone:404-931-6292
Mailing Address - Fax:
Practice Address - Street 1:203 DE SALES AVE
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36607-2203
Practice Address - Country:US
Practice Address - Phone:404-931-6292
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-10
Last Update Date:2007-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL418614282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital