Organization
SOUTH BALDWIN DIAGNOSTIC IMAGINE ASSOCIATES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK R CONNELL M.D. (AUTHORIZED OFFICIAL)
(251) 949-3513
Entity
Organization
Contact information
Practice address
1613 N MCKENZIE ST, FOLEY, AL 36535-2247
(251) 949-1513
(251) 476-5460
Mailing address
PO BOX 160550, ALTAMONTE SPRINGS, FL 32716-0550
(713) 559-6929
(713) 559-6928
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
11/17/2005
Last updated
03/19/2025
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