ALABAMA MEDICAL GROUP, PC

Provider Demographics

• NPI: 1841712684
• Name: ALABAMA MEDICAL GROUP, PC
• Entity type: Organization
• Organization Name: ALABAMA MEDICAL GROUP, PC
• Other - Org Name: <UNAVAIL>
• Authorized Official - Title/Position: ADMINISTRATOR
• Authorized Official - First Name: CHRISTINE
• Authorized Official - Last Name: HOLLIMAN
• Authorized Official - Credentials: ADMINISTRATOR
• Authorized Official - Phone: 251-414-5900
• Mailing Address - Street 1: 101 MEMORIAL HOSPITAL DR STE 200
• Mailing Address - City: MOBILE
• Mailing Address - State: AL
• Mailing Address - Zip Code: 36608-1787
• Mailing Address - Country: US
• Mailing Address - Phone: 251-414-5900
• Mailing Address - Fax: 251-281-1163
• Practice Address - Street 1: 101 MEMORIAL HOSPITAL DR STE 200
• Practice Address - City: MOBILE
• Practice Address - State: AL
• Practice Address - Zip Code: 36608-1787
• Practice Address - Country: US
• Practice Address - Phone: 251-414-5900
• Practice Address - Fax: 251-459-8964
• EIN: <UNAVAIL>
• Is Organization Subpart?: No
• Enumeration Date: 2017-07-13
• Last Update Date: 2022-07-21

Provider Taxonomies

Primary?	Code	Type	Classification	Specialization	Group
Yes	207R00000X	Allopathic & Osteopathic Physicians	Internal Medicine		Group - Multi-Specialty

Provider Identifiers

State	Identifier ID	ID Type	Issuer
AL	1053318030	Other	GASTROENTEROLOGY
AL	1700093598	Other	NEUROLOGY
AL	1396730925	Other	INTERNAL MEDICINE
AL	1598772204	Other	FAMILY MEDICINE
AL	164922921	Other	INTERNAL MEDICINE
AL	1174800429	Other	GASTROENTEROLOGY
AL	1316945306	Other	INTERNAL MEDICINE
AL	1811995731	Other	INTERNAL MEDICINE
AL	1134145956	Other	INTERNAL MEDICINE
AL	1407957046	Other	ENDOCRINOLOGY
AL	1700043114	Other	INTERNAL MEDICINE
AL	1144587254	Other	INTERNAL MEDICINE
AL	1275554636	Other	GASTROENTEROLOGY
AL	1952309965	Other	INTERNAL MEDICINE
AL	1063679520	Other	RHEUMATOLOGY
AL	1093922882	Other	NEUROLOGY
AL	1932107943	Other	INTERNAL MEDICINE
AL	1073834792	Other	GAASTROENTEROLOGY
AL	1336496421	Other	FAMILY MEDICINE
AL	165967022	Other	NEUROLOGY
AL	1881630069	Other	FAMILY MEDICINE
AL	1962433862	Other	INTERNAL MEDICINE
AL	1316384936	Other	FAMILY MEDICINE
AL	1407918493	Other	INTERNAL MEDICINE
AL	1477642890	Other	GASTROENTEROLOGY
AL	1639110224	Other	GASTROENTEROLOGY