Healthcare Provider Details

I. General information

NPI: 1528071776
Provider Name (Legal Business Name): BAY MINETTE MEDICAL ARTS CENTER PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/15/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1903 HAND AVE
BAY MINETTE AL
36507
US

IV. Provider business mailing address

1903 HAND AVE
BAY MINETTE AL
36507
US

V. Phone/Fax

Practice location:
  • Phone: 251-937-7970
  • Fax: 251-937-9260
Mailing address:
  • Phone: 251-937-7970
  • Fax: 251-937-9260

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. CHARLES EDWARD SHERMAN
Title or Position: PRESIDENT
Credential: MD
Phone: 251-937-7970