Provider Demographics
NPI:1811923014
Name:UZOIJE, PRINCE C (MD)
Entity type:Individual
Prefix:DR
First Name:PRINCE
Middle Name:C
Last Name:UZOIJE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:572 STANTON RD
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36617-2324
Mailing Address - Country:US
Mailing Address - Phone:251-444-1000
Mailing Address - Fax:251-473-3210
Practice Address - Street 1:572 STANTON RD
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36617-2324
Practice Address - Country:US
Practice Address - Phone:251-444-1000
Practice Address - Fax:251-473-3210
Is Sole Proprietor?:No
Enumeration Date:2006-06-23
Last Update Date:2020-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALMD.22172207P00000X, 208M00000X
AL22172207R00000X, 207RG0300X
AL00022172207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL009935299Medicaid
AL009937086Medicaid
AL1811923014OtherTRICARE SOUTH
AL515-98858OtherBCBS
AL515-35517OtherBCBS
AL009937082Medicaid
AL631410081Medicaid
AL009937084Medicaid
AL515-33622OtherBCBS
AL009937948Medicaid
AL515-33619OtherBCBS
AL515-33623OtherBCBS
AL009937949Medicaid
AL515-33621OtherBCBS
AL631410081Medicaid
AL1811923014OtherTRICARE SOUTH
AL051535516Medicare PIN
AL009937082Medicaid
AL515-33621OtherBCBS
AL102I111993Medicare PIN