Healthcare Provider Details

I. General information

NPI: 1568407856
Provider Name (Legal Business Name): NORMA DENISE MOBLEY M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/19/2006
Last Update Date: 01/26/2022
Certification Date: 01/26/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6321 PICCADILLY SQUARE DR
MOBILE AL
36609-5306
US

IV. Provider business mailing address

PO BOX 91899
MOBILE AL
36691-1899
US

V. Phone/Fax

Practice location:
  • Phone: 251-342-8900
  • Fax: 251-342-2333
Mailing address:
  • Phone: 251-342-8900
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number00023492
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: