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GMUC OF TILLMANS CORNER
NPI 1386053783
General Practice in Mobile, AL

Active since August 11, 2014
5100 RANGELINE SERVICE RD N, MOBILE, AL 36619(251) 633-0123(251) 445-3722 Get Directions Write a Review

NPPES record last updated: August 11, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Gmuc Of Tillmans Corner NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GMUC OF TILLMANS CORNER (NPI 1386053783) is a healthcare organization registered as a general practice in Mobile, Alabama and active in the NPI registry since August 2014. The organization lists Darren Waters, Partner, as its authorized official.

NPPES Registry Identity

NPI1386053783
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameGMUC OF TILLMANS CORNER
Location Address5100 RANGELINE SERVICE RD NMobile, AL 36619-9504
Mailing Address5100 Rangeline Service Rd NMobile, AL 36619-9504 · (251) 633-0123 · Fax (251) 445-3722
Phone(251) 633-0123
Fax(251) 445-3722
Organization SubpartNo
Authorized OfficialDarren WatersPartner · (251) 633-0123
Enumeration DateAugust 11, 2014
✔ NPI 1386053783 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
5100 RANGELINE SERVICE RD N, Mobile, AL 36619
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RUSSELL WAYNE STEVENS MD
Family Medicine
5100 RANGELINE SERVICE RD N
MOBILE, AL 36619
Mobile County (251) 661-4454
MARK R. MCCUTCHEON MD
Family Medicine
5100 RANGELINE SERVICE RD N, TILLMAN'S CORNER
MOBILE, AL 36619
Mobile County (251) 378-4000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gmuc Of Tillmans Corner's NPI number?

The NPI number for Gmuc Of Tillmans Corner is 1386053783. It was assigned to this organization in the NPPES registry on August 11, 2014.

Where is Gmuc Of Tillmans Corner located?

Gmuc Of Tillmans Corner is located at 5100 Rangeline Service Rd N, Mobile, AL 36619. The listed phone number is (251) 633-0123.

What is Gmuc Of Tillmans Corner's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Gmuc Of Tillmans Corner was last updated on August 11, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.