Healthcare Provider Details
I. General information
NPI: 1023912516
Provider Name (Legal Business Name): PRECISION UNBOUND LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/07/2026
Last Update Date: 10/07/2026
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4310 OLD SHELL RD. SUITE A
MOBILE AL
36608-2046
US
IV. Provider business mailing address
4310 OLD SHELL RD. SUITE A
MOBILE AL
36608-2046
US
V. Phone/Fax
- Phone: 251-572-7283
- Fax: 251-244-7759
- Phone: 251-572-7283
- Fax: 251-244-7759
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | |
| License Number State | NULL |
VIII. Authorized Official
Name: MRS.
COBY
NICHOLE
HARRISON
Title or Position: OWNER/CHIEF MEDICAL OFFICER
Credential: M.D.
Phone: 251-572-7283