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Organization

ERIC W BAUM MD PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ERIC W. BAUM M.D., P.C. (OWNER)
(256) 543-2380
Entity
Organization

Contact information

Practice address
101 CHERRY ST, GADSDEN, AL 35901-5234
(256) 543-2380
(256) 543-2389
Mailing address
101 CHERRY ST, GADSDEN, AL 35901-5234
(256) 543-2380
(256) 543-2389

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
207N00000X
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
51010631
PROVIDER # FOR BCBS
AL
Enumeration date
09/16/2006
Last updated
01/10/2008
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