| South Baldwin Family Practice Llc | |
|
202 W Orange Ave Foley AL 36535-1942 | |
| (251) 943-7237 | |
| (251) 943-2451 |
| Full Name | South Baldwin Family Practice Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 202 W Orange Ave, Foley, Alabama |
| Authorized Official Name and Position | Ellis S Allen (OWNER) |
| Authorized Official Contact | 2519437237 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| South Baldwin Family Practice Llc 202 W Orange Ave Foley AL 36535-1942 Ph: (251) 943-7237 | South Baldwin Family Practice Llc 202 W Orange Ave Foley AL 36535-1942 Ph: (251) 943-7237 |
| NPI Number | 1184666760 |
|---|---|
| Provider Enumeration Date | 06/11/2006 |
| Last Update Date | 09/22/2022 |
| Medicare PECOS PAC ID | 6204855703 |
|---|---|
| Medicare Enrollment ID | O20051114001114 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184666760 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Geoffrey S Lipscomb |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659317345 PECOS PAC ID: 4082617964 Enrollment ID: I20060814000590 |
| Provider Name | Ellis S Allen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598789992 PECOS PAC ID: 8628132875 Enrollment ID: I20090203000131 |
| Provider Name | Kelly William Sadler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316494636 PECOS PAC ID: 3577859867 Enrollment ID: I20160913001778 |
| Provider Name | Jaleah Beckley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841951191 PECOS PAC ID: 0840684700 Enrollment ID: I20220218002003 |
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