# BALDWIN OB-GYN PC

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

## Provider details

- **NPI number:** 1295940674
- **Authorized official:** JUDY DELACY CLOUSETT MD (PRESIDENT)
- **Authorized official phone:** (251) 424-1100

## Contact information

- **Practice address:** 1506 N MCKENZIE STREET, SUITE 104, FOLEY, AL 36535-2264
- **Practice address phone:** (251) 424-1100
- **Practice address fax:** (251) 424-1110
- **Mailing address:** 1506 N MCKENZIE STREET, SUITE 104, FOLEY, AL 36535-2264
- **Mailing address phone:** (251) 424-1100
- **Mailing address fax:** (251) 424-1110

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207VH0002X | Hospice and Palliative Medicine (Obstetrics & Gynecology) Physician | 17877 | AL | Yes |

## Other

- **Enumeration date:** 05/11/2007
- **Last updated:** 10/04/2016
