Organization
BALDWIN OB-GYN PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUDY DELACY CLOUSETT MD (PRESIDENT)
(251) 424-1100
Entity
Organization
Contact information
Practice address
1506 N MCKENZIE STREET, SUITE 104, FOLEY, AL 36535-2264
(251) 424-1100
(251) 424-1110
Mailing address
1506 N MCKENZIE STREET, SUITE 104, FOLEY, AL 36535-2264
(251) 424-1100
(251) 424-1110
Taxonomy
Speciality
Code
Description
License number
State
207VH0002X
Hospice and Palliative Medicine (Obstetrics & Gynecology) Physician
Primary
17877
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
529922890
—
AL
Enumeration date
05/11/2007
Last updated
10/04/2016
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