Organization
IMC-NORTH BALDWIN PRIMARY PLUS, LLC
Active
Other names
North Baldwin Primary Plus
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTHONY PALAZZO (VICE PRESIDENT OF FINANCE)
(251) 435-1331
Entity
Organization
Contact information
Practice address
2115 HAND AVE STE B, BAY MINETTE, AL 36507-4149
(251) 937-7100
Mailing address
2115 HAND AVE, BAY MINETTE, AL 36507-4149
(251) 937-7100
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
137896
—
AL
Enumeration date
03/29/2012
Last updated
05/01/2024
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