Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Gmuc of Tillmans Corner

Organization General Practice Physician · NPI 1386053783

Gmuc of Tillmans Corner provides General Practice Physician services in Mobile, Alabama. Registered with an NPI since 2014.

In the registry since
2014

Practice location Address checks out

5100 Rangeline Service Rd N
Mobile, AL 36619-9504 Not confirmed with CMS for 12 years — call before visiting
Phone: (251) 633-0123
Fax: (251) 445-3722
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X

Record details

NPI number1386053783
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Darren Waters — Partner · (251) 633-0123
NPI enumeratedAugust 11, 2014
Last updated in NPPESAugust 11, 2014
Mailing address5100 Rangeline Service Rd N, Mobile, AL 36619-9504

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