Healthcare Provider Details

I. General information

NPI: 1326399338
Provider Name (Legal Business Name): BAY AREA INPATIENT PHYSICIANS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/01/2012
Last Update Date: 06/03/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

750 MORPHY AVE
FAIRHOPE AL
36532-1812
US

IV. Provider business mailing address

PO BOX 1276
FAIRHOPE AL
36533-1276
US

V. Phone/Fax

Practice location:
  • Phone: 251-990-1922
  • Fax:
Mailing address:
  • Phone: 251-990-1922
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number
License Number State

VIII. Authorized Official

Name: FULTON G DEFOUR
Title or Position: MEMBER
Credential: MD
Phone: 251-990-1922