Organization
SOUTH BALDWIN PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY ALLEN EBERLY M.D. (PHYSICIAN)
(251) 943-7901
Entity
Organization
Contact information
Practice address
1090 EAST LAUREL AVENUE, FOLEY, AL 36535-2248
(251) 943-7901
(251) 943-1949
Mailing address
1090 EAST LAUREL AVENUE, FOLEY, AL 36535-2248
(251) 943-7901
(251) 943-1949
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
18394
AL
208000000X
Pediatrics Physician
Primary
21260
AL
363LF0000X
Family Nurse Practitioner
1-050138
AL
Other
Enumeration date
04/12/2007
Last updated
04/20/2008
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