Healthcare Provider Details
I. General information
NPI: 1164465878
Provider Name (Legal Business Name): FOOT AND ANKLE CENTER OF MOBILE BAY, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/13/2006
Last Update Date: 07/29/2025
Certification Date: 07/29/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
705 BISHOP LN N
MOBILE AL
36608-5838
US
IV. Provider business mailing address
705 BISHOP LN N
MOBILE AL
36608-5838
US
V. Phone/Fax
- Phone: 251-373-5971
- Fax: 251-373-7589
- Phone: 251-343-5971
- Fax: 251-343-7589
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QP1100X |
| Taxonomy | Podiatric Clinic/Center |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | 00041 |
| License Number State | AL |
VIII. Authorized Official
Name:
JAMES
HAROLD
MORGAN
Title or Position: PRESIDENT/OWNER
Credential: DPM
Phone: 251-343-5971