OrganizationUniversity Of South Alabama(Usa Pediatrics)PediatricsAllopathic & Osteopathic PhysiciansPractice Address1601 Center St Ste 1n, Mobile, AL 36604-1541(251) 410-5437(251) 434-3626PECOS EnrollmentBased on the most recent information from CMS, provider University Of South Alabama does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records today at 11:36 AM.Profile DetailsProvider ID1992163505Provider TypeOrganizationFull NameUniversity Of South AlabamaOther NameUsa PediatricsSubpartNoEnumeration Date2/10/2016Last Updated7/21/2022Contact InformationPractice LocationPractice Address1601 Center St Ste 1n, Mobile, AL 36604-1541Phone(251) 410-5437Fax(251) 434-3802Mailing LocationMailing AddressPO Box 40480, Mobile, AL 36640-0480Phone(251) 434-3626Fax(251) 445-2464Authorized OfficialNameBailey, Glen Owen (Ceo)Phone(251) 471-7118Provider TaxonomiesCodeDescriptionLicenseCode208000000XPrimaryDescriptionPediatricsAllopathic & Osteopathic PhysiciansLicenseUnlisted Issuer