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Organization
BAYSIDE ORTHOPEDIC & REHABILITATION CENTER PC
Active
Organization
BAYSIDE ORTHOPEDIC & REHABILITATION CENTER PC
Active
Other names
Bayside Orthopaedic, Sports Medicine & Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
RACHEL L ELLIS (OFFICE MANAGER)
(251) 928-2401
Entity
Organization
Contact information
Practice address
1622 N MCKENZIE ST, FOLEY, AL 36535-2248
(251) 928-2401
(251) 928-5099
Mailing address
PO BOX 1186, FAIRHOPE, AL 36533-1186
(251) 928-2401
(251) 928-5099
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
528700580
—
AL
Enumeration date
08/30/2011
Last updated
04/23/2019
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