Healthcare Provider Details

I. General information

NPI: 1407112329
Provider Name (Legal Business Name): FOCUS, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/04/2012
Last Update Date: 04/05/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3930-F AIRPORT BLVD
MOBILE AL
36608-1692
US

IV. Provider business mailing address

3930-F AIRPORT BLVD
MOBILE AL
36608-1692
US

V. Phone/Fax

Practice location:
  • Phone: 251-378-8635
  • Fax: 251-378-8636
Mailing address:
  • Phone: 251-378-8635
  • Fax: 251-378-8636

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number14295
License Number StateAL
# 2
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number22050
License Number StateAL
# 3
Primary TaxonomyN
Taxonomy Code2080P0006X
TaxonomyDevelopmental - Behavioral Pediatrics Physician
License Number14295
License Number StateAL
# 4
Primary TaxonomyY
Taxonomy Code207RA0000X
TaxonomyAdolescent Medicine (Internal Medicine) Physician
License Number14295
License Number StateAL

VIII. Authorized Official

Name: MICHELLE COLE
Title or Position: CREDENTIALING COORDINATOR
Credential:
Phone: 251-300-2060