Organization
BAY MINETTE FAMILY PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY E KOLB DO (PRESIDENT)
(251) 937-5652
Entity
Organization
Contact information
Practice address
2305 HAND AVE STE 2, BAY MINETTE, AL 36507-4198
(251) 937-5652
(251) 937-5954
Mailing address
2305 HAND AVE STE 2, BAY MINETTE, AL 36507-4198
(251) 937-5652
(251) 937-5954
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
DO35
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000075536
—
AL
Enumeration date
08/31/2006
Last updated
05/26/2009
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