Healthcare Provider Details

I. General information

NPI: 1811923014
Provider Name (Legal Business Name): PRINCE C UZOIJE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/23/2006
Last Update Date: 03/05/2020
Certification Date: 03/05/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

572 STANTON RD
MOBILE AL
36617-2324
US

IV. Provider business mailing address

572 STANTON RD
MOBILE AL
36617-2324
US

V. Phone/Fax

Practice location:
  • Phone: 251-444-1000
  • Fax: 251-473-3210
Mailing address:
  • Phone: 251-444-1000
  • Fax: 251-473-3210

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberMD.22172
License Number StateAL
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number22172
License Number StateAL
# 3
Primary TaxonomyN
Taxonomy Code207RG0300X
TaxonomyGeriatric Medicine (Internal Medicine) Physician
License Number22172
License Number StateAL
# 4
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberMD.22172
License Number StateAL
# 5
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number00022172
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: