Organization
BAYOUCLINIC, INC.
Active
Other names
Bayou La Batre Rural Health Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE H TAYLOR (INTERIM EXECUTIVE DIRECTOR)
(251) 824-4985
Entity
Organization
Contact information
Practice address
13833 TAPIA AVE, BAYOU LA BATRE, AL 36509-2515
(251) 824-4985
(251) 824-4990
Mailing address
13220 N WINTZELL AVE, BAYOU LA BATRE, AL 36509-2142
(251) 824-4985
(251) 824-4990
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
529932897
—
AL
05
—
541003845
—
AL
Enumeration date
03/15/2006
Last updated
10/14/2022
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