# NATHAN W BALDWIN MD PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003956459
- **Authorized official:** NATHAN WARD BALDWIN MD (PHYSICIAN)
- **Authorized official phone:** (662) 720-1600

## Contact information

- **Practice address:** 100 HOSPITAL ST, SUITE 100, BOONEVILLE, MS 38829-3354
- **Practice address phone:** (662) 820-1600
- **Practice address fax:** (662) 720-1664
- **Mailing address:** 100 HOSPITAL ST STE 100, P. O. BOX 70, BOONEVILLE, MS 38829-3354
- **Mailing address phone:** (662) 720-1600
- **Mailing address fax:** (662) 720-1172

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 15031 | MS | Yes |
| 208000000X | Pediatrics Physician | 15031 | MS | — |

## Other

- **Enumeration date:** 02/07/2007
- **Last updated:** 11/03/2010