Individual
JONATHAN BRIAN BALDWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
100 PRATHER PARK DR, SUITE A, MYRTLE BEACH, SC 29588-7910
(843) 742-5701
(843) 742-5704
Mailing address
100 PRATHER PARK DR STE A, MYRTLE BEACH, SC 29588-7910
(843) 742-5791
(843) 742-5704
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6044
SC
Other
Enumeration date
04/26/2011
Last updated
04/26/2011
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