| Organization Name: | BAY MINETTE FAMILY PRACTICE |
| NPI Number: | 1467563163 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | GARY E KOLB (PRESIDENT) |
| Mailing Address: | 2305 Hand Ave Ste 2 Bay Minette |
| State: | AL US |
| Postal Code: | 365074198 |
| Phone Number: | 2519375652 |
| Fax Number: | 2519375954 |
| NPI Enumeration Date: | 08/31/2006 |
| NPI Last Update Date: | 05/26/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2300X |
| License Number: | DO35 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AL |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |