Individual
ATHENA BEVETTE BALDWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
882 GARRISONVILLE RD, STAFFORD, VA 22554-3907
(540) 318-6464
Mailing address
10185 ETHEL CT, MANASSAS, VA 20111-2616
(503) 828-6167
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0110-006277
VA
363A00000X
Physician Assistant
PA-2849
CO
363A00000X
Physician Assistant
Primary
PA04742
TX
Other
Enumeration date
08/01/2006
Last updated
05/15/2024
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