Healthcare Provider Details

I. General information

NPI: 1285958421
Provider Name (Legal Business Name): ALABAMA ORTHOPAEDIC CLINIC, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/17/2010
Last Update Date: 04/23/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1720 SPRINGHILL AVE SUITE 301
MOBILE AL
36604-1410
US

IV. Provider business mailing address

3610 SPRINGHILL MEMORIAL DR N
MOBILE AL
36608-1162
US

V. Phone/Fax

Practice location:
  • Phone: 251-410-3600
  • Fax: 251-410-3700
Mailing address:
  • Phone: 251-410-3600
  • Fax: 251-410-3700

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. RUSSELL HUDGENS
Title or Position: PRESIDENT
Credential:
Phone: 251-410-3600