Healthcare Provider Details

I. General information

NPI: 1528328127
Provider Name (Legal Business Name): INFIRMARY HEALTH URGENT CARE - GULF SHORES, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/17/2012
Last Update Date: 08/15/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1140 GULF SHORES PKWY SUITE A
GULF SHORES AL
36542-5914
US

IV. Provider business mailing address

1140 GULF SHORES PKWY SUITE A
GULF SHORES AL
36542-5914
US

V. Phone/Fax

Practice location:
  • Phone: 251-968-2273
  • Fax: 251-948-4860
Mailing address:
  • Phone: 251-968-2273
  • Fax: 251-948-4860

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. JAMES BOYD PUGH
Title or Position: DIRECTOR
Credential:
Phone: 251-435-5737