Individual
DR. ERIC W BAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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
07/11/2006
Last updated
07/08/2007
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