Healthcare Provider Details

I. General information

NPI: 1679415103
Provider Name (Legal Business Name): UNIVERSITY OF SOUTH ALABAMA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/06/2026
Last Update Date: 04/06/2026
Certification Date: 03/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2541 UNIVERSITY HOSPITAL MCI 3052
MOBILE AL
36617
US

IV. Provider business mailing address

2541 UNIVERSITY HOSPITAL DRIVE MCI 3052
MOBILE AL
36617
US

V. Phone/Fax

Practice location:
  • Phone: 251-445-9895
  • Fax: 251-460-6994
Mailing address:
  • Phone: 251-445-9895
  • Fax: 251-460-6994

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name: DR. ASHLEY NOUR HAMATI
Title or Position: FELLOW PHYSICIAN
Credential: DO
Phone: 423-677-2882