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Organization
NATHAN W BALDWIN MD PA
Active
Organization
NATHAN W BALDWIN MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATHAN WARD BALDWIN MD (PHYSICIAN)
(662) 720-1600
Entity
Organization
Contact information
Practice address
100 HOSPITAL ST, SUITE 100, BOONEVILLE, MS 38829-3354
(662) 820-1600
(662) 720-1664
Mailing address
100 HOSPITAL ST STE 100, P. O. BOX 70, BOONEVILLE, MS 38829-3354
(662) 720-1600
(662) 720-1172
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
15031
MS
208000000X
Pediatrics Physician
15031
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09015455
—
MS
Enumeration date
02/07/2007
Last updated
11/03/2010
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