MEDICARE: NORTH BALDWIN FAMILY MEDICAL, P.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1366627283
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NORTH BALDWIN FAMILY MEDICAL, P.C.

Provider Business Mailing Address
First Line	:	2305 HAND AVE
Second Line	:
City	:	BAY MINETTE
State	:	AL
Zip	:	36507-4191
Country	:	US
Telephone Number	:	251-435-1364
Fax Number	:

Provider Business Practice Location Address
First Line	:	2305 HAND AVE
Second Line	:
City	:	BAY MINETTE
State	:	AL
Zip	:	36507-4191
Country	:	US
Telephone Number	:	251-435-1364
Fax Number	:

Authorized Official
Title or Position	:	VICE PRESIDENT
Name	:	MR. RICHARD BARRE SANDERS
Credential	:
Telephone Number	:	251-436-1300

Provider Enumeration Date	:	01/09/2008
Last Update Date	:	01/09/2008

Similar Medicare Providers

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Practice Location Address:

2305 HAND AVE
BAY MINETTE, AL
36507-4191

Practice Phone: 251-368-9826
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Practice Location Address:

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1851355846 — GARY E KOLB DO
Practice Location Address:

2305 HAND AVE , SUITE 2
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36507-4191

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1417997842 — ROY GANDY MD PC
Practice Location Address:

2305 HAND AVE , SUITE 4
BAY MINETTE, AL
36507-4191

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1902106487 — NORTH BALDWIN FAMILY PHYSICIANS, P.C.
Practice Location Address:

2305 HAND AVE , 3
BAY MINETTE, AL
36507-4191

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1710243274 — MRS. ELIZABETH DICKMAN RIMMER CRNP
Practice Location Address:

2305 HAND AVE
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36507-4191

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