Individual
DR. GREGG ALAN BALDWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
11500 MIDLOTHIAN TURNPIKE, SUITE #716B, RICHMOND, VA 23235
(804) 897-5542
Mailing address
1304 CREEKSIDE DRIVE, CHARLOTTESVILLE, VA 22902
(434) 971-4722
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618000664
VA
Other
Enumeration date
01/09/2007
Last updated
07/08/2007
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