Organization
BALDWIN PHYSICIAN SERVICES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM E ADMIRE DO (CEO & SEC/TRES)
(251) 435-2646
Entity
Organization
Contact information
Practice address
1815 HAND AVE, BAY MINETTE, AL 36507-4110
(251) 435-2646
Mailing address
PO BOX 830529, BIRMINGHAM, AL 35283-0529
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
529923330
—
AL
01
—
DD7762
RAILROAD MEDICARE
AL
01
—
G487
BCBS
AL
Enumeration date
06/30/2006
Last updated
01/10/2013
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