| Eugene Baldwin Jr, | |
|
1802 6th Ave S, Birmingham, AL 35233-1932 | |
| (205) 934-0006 | |
| Not Available |
| Full Name | Eugene Baldwin Jr |
|---|---|
| Gender | Male |
| Speciality | Registered Nurse |
| Location | 1802 6th Ave S, Birmingham, Alabama |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194429639 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 1-182756 (Alabama) | Primary |
| Entity Name | Southern Immediate Care, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467909978 PECOS PAC ID: 6103114087 Enrollment ID: O20161010000102 |
| Mailing Address | Practice Location Address |
|---|---|
| Eugene Baldwin Jr, 1802 6th Ave S, Birmingham, AL 35233-1932 Ph: () - | Eugene Baldwin Jr, 1802 6th Ave S, Birmingham, AL 35233-1932 Ph: (205) 934-0006 |
Madison Thomas Hulker, WHNP Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 1700 6th Ave S, Birmingham, AL 35233 Phone: 205-934-3411 | |
Shannon Marie Harrison, BSN, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 619 19th St S, Birmingham, AL 35233 Phone: 205-934-6050 | |
Mrs. Leah York Richardson, Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 619 19th St S, Birmingham, AL 35249 Phone: 205-242-8734 | |
Tyler Bishop, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1802 6th Ave S, Birmingham, AL 35233 Phone: 256-490-6381 | |
Emily Karanja, CRNP Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 50 Medical Park Dr E, Birmingham, AL 35235 Phone: 205-838-3245 | |
Latasha Davis, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 615 18th St S, Birmingham, AL 35233 Phone: 205-996-3050 | |
Anna Glyn Wall, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 2452 Ridgemont Dr, Birmingham, AL 35244 Phone: 205-432-8196 |