Individual
NATHAN WARD BALDWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 HOSPITAL ST, SUITE 100, BOONEVILLE, MS 38829-3354
(662) 720-1600
(662) 720-1664
Mailing address
PO BOX 70, BOONEVILLE, MS 38829-0070
(662) 720-1600
(662) 720-1664
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
15031
MS
207R00000X
Internal Medicine Physician
Primary
15031
MS
208000000X
Pediatrics Physician
15031
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00117392
—
MS
Enumeration date
02/07/2007
Last updated
08/30/2023
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