Individual
MINDY BALDWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
505 FORRESTER DR SE, DAWSON, GA 39842-2006
(229) 995-2990
Mailing address
3286 GA HIGHWAY 266, CUTHBERT, GA 39840-5100
(292) 869-7341
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
20830
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20830
REGISTERED DENTAL HYGIENS
CA
01
—
DH012000
REGISTERED DENTAL HYGIENIST
GA
Enumeration date
02/08/2007
Last updated
07/31/2024
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