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DR. GABRIELLE G BALDWIN MD
Adolescent Medicine >> Pediatrics >> Allopathic & Osteopathic PhysiciansRegistrant NPI Number: 1528150521
Individual Registrant:DR. GABRIELLE G BALDWIN MD
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
109 MEDICAL PARK DR SUITE B ANDALUSIA, AL 36420-5323 US
Tel: 334-222-3555 Fax: 334-222-2401
Tel: 334-222-3555 Fax: 334-222-2401
Contact information for business:
109 MEDICAL PARK DR SUITE B ANDALUSIA, AL 36420-5323 US
Tel: 334-222-3555 Fax: 334-222-2401
Tel: 334-222-3555 Fax: 334-222-2401
Registration Information:
NPI: 1528150521
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 2080A0000X | Allopathic & Osteopathic Physicians Pediatrics Adolescent Medicine | AL | 25398 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| BLUE CROSS BLUE SHIELD | 51523267 | AL | 01 |
| BLUE CROSS BLUE SHIELD | 51523265 | AL | 01 |
