Healthcare Provider Details
I. General information
NPI: 1407288921
Provider Name (Legal Business Name): DHS MEDICAL SERVICES PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/07/2013
Last Update Date: 08/07/2013
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
116 CARONDOLET CT W
MOBILE AL
36608-5717
US
IV. Provider business mailing address
116 CARONDOLET CT W
MOBILE AL
36608-5717
US
V. Phone/Fax
- Phone: 251-709-9920
- Fax: 251-545-4963
- Phone: 251-709-9920
- Fax: 251-545-4963
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QP2300X |
| Taxonomy | Primary Care Clinic/Center |
| License Number | 13749 |
| License Number State | AL |
VIII. Authorized Official
Name: DR.
DANIEL
HOWARD
SPRIGGS
Title or Position: CEO
Credential: M.D.
Phone: 251-709-9920