Organization
IMC NORTH BALDWIN PHYSICIAN GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTHONY PALAZZO (VICE PRESIDENT OF FINANCE)
(251) 435-1331
Entity
Organization
Contact information
Practice address
2002 MEDICAL CENTER DR, BAY MINETTE, AL 36507-4163
(251) 435-1331
Mailing address
2002 MEDICAL CENTER DR, BAY MINETTE, AL 36507-4163
(251) 435-1331
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
04/05/2018
Last updated
02/03/2021
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