Healthcare Provider Details

I. General information

NPI: 1366997918
Provider Name (Legal Business Name): SYMBOL HEALTH SOLUTIONS, L.LC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/23/2016
Last Update Date: 08/23/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3725 AIRPORT BLVD SPACE 207
MOBILE AL
36608-1633
US

IV. Provider business mailing address

3765A GOVERNMENT BLVD
MOBILE AL
36693-4307
US

V. Phone/Fax

Practice location:
  • Phone: 251-300-8907
  • Fax: 251-300-8987
Mailing address:
  • Phone: 251-338-2942
  • Fax: 251-338-2944

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QC1800X
TaxonomyCorporate Health Clinic/Center
License Number
License Number StateAL
# 2
Primary TaxonomyN
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. MICHAEL GREGORY MOLYNEUX JR.
Title or Position: PROCUREMENT MANAGER
Credential:
Phone: 251-338-2942