# SOUTH BALDWIN FAMILY PRACTICE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184666760
- **Authorized official:** DR. ELLIS S ALLEN III MD (OWNER)
- **Authorized official phone:** (251) 943-7237

## Contact information

- **Practice address:** 202 W ORANGE AVE, FOLEY, AL 36535-1942
- **Practice address phone:** (251) 943-7237
- **Practice address fax:** (251) 943-2451
- **Mailing address:** 202 W ORANGE AVE, FOLEY, AL 36535-1942
- **Mailing address phone:** (251) 943-7237
- **Mailing address fax:** (251) 943-2451

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/11/2006
- **Last updated:** 09/22/2022