| Baldwin Infectious Disease Specialist Llc | |
|
750 Morphy Ave Fairhope AL 36532-1812 | |
| (251) 990-1980 | |
| (251) 990-1988 |
| Full Name | Baldwin Infectious Disease Specialist Llc |
|---|---|
| Speciality | Internal Medicine - Infectious Disease |
| Location | 750 Morphy Ave, Fairhope, Alabama |
| Authorized Official Name and Position | Kimberly Anne Westbrook (PRESIDENT/MD) |
| Authorized Official Contact | 2514047344 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Baldwin Infectious Disease Specialist Llc Po Box 1750 Point Clear AL 36564-1750 Ph: (251) 990-1980 | Baldwin Infectious Disease Specialist Llc 750 Morphy Ave Fairhope AL 36532-1812 Ph: (251) 990-1980 |
| NPI Number | 1699075705 |
|---|---|
| Provider Enumeration Date | 10/25/2010 |
| Last Update Date | 06/20/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699075705 | NPI | - | NPPES |
| DR4105 | Other | AL | RR MEDICARE |
| 124084 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | 20933 (Alabama) | Primary |
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Fulton G. De Four, Md, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 750 Morphy Ave, Fairhope, AL 36532 Phone: 251-752-8235 | |
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