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Individual

MR. BRIAN CHRISTOPHER BALDWIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
ATC, PA-C

Contact information

Practice address
3601 THE VANDERBILT CLINIC, NASHVILLE, TN 37232-0014
(615) 322-5000
Mailing address
3841 GREEN HILLS VILLAGE DR STE 200, NASHVILLE, TN 37215-2691

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
AT002646
GA
363A00000X
Physician Assistant
10410
GA
363A00000X
Physician Assistant
Primary
5763
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
15153314
CAQH #
Enumeration date
02/04/2015
Last updated
10/09/2024
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