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Individual

DR. GABRIELLE G BALDWIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
109 MEDICAL PARK DR, SUITE B, ANDALUSIA, AL 36420-5323
(334) 222-3555
(334) 222-2401
Mailing address
109 MEDICAL PARK DR, SUITE B, ANDALUSIA, AL 36420-5323
(334) 222-3555
(334) 222-2401

Taxonomy

Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
25398
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
51523265
BLUE CROSS BLUE SHIELD
AL
01
51523267
BLUE CROSS BLUE SHIELD
AL
Enumeration date
09/28/2006
Last updated
07/08/2007
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