Individual
GARY E KOLB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2305 HAND AVE, SUITE 2, BAY MINETTE, AL 36507-4191
(251) 937-5652
(251) 937-5954
Mailing address
2305 HAND AVE, SUITE 2, BAY MINETTE, AL 36507-4198
(251) 937-5652
(251) 937-5954
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO35
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000075536
—
AL
01
—
51075536
BCBS
AL
Enumeration date
04/14/2006
Last updated
05/28/2009
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