Provider Demographics
NPI:1366627283
Name:NORTH BALDWIN FAMILY MEDICAL, P.C.
Entity Type:Organization
Organization Name:NORTH BALDWIN FAMILY MEDICAL, P.C.
Other - Org Name:NORTH BALDWIN FAMILY MEDICAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:BARRE
Authorized Official - Last Name:SANDERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:251-436-1300
Mailing Address - Street 1:2305 HAND AVE
Mailing Address - Street 2:
Mailing Address - City:BAY MINETTE
Mailing Address - State:AL
Mailing Address - Zip Code:36507-4191
Mailing Address - Country:US
Mailing Address - Phone:251-435-1364
Mailing Address - Fax:
Practice Address - Street 1:2305 HAND AVE
Practice Address - Street 2:
Practice Address - City:BAY MINETTE
Practice Address - State:AL
Practice Address - Zip Code:36507-4191
Practice Address - Country:US
Practice Address - Phone:251-435-1364
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:INFIRMARY MEDICAL CLINICS, P.C.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-01-09
Last Update Date:2008-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty