Healthcare Provider Details

I. General information

NPI: 1518591569
Provider Name (Legal Business Name): ALABAMA JOINT REPLACEMENT, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/28/2020
Last Update Date: 02/28/2020
Certification Date: 02/28/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3610 SPRINGHILL MEMORIAL DR N
MOBILE AL
36608-1162
US

IV. Provider business mailing address

2304 DE LEON AVE
MOBILE AL
36607-3212
US

V. Phone/Fax

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

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: GRANT ZARZOUR
Title or Position: PRESIDENT
Credential: MD
Phone: 251-654-3798