Individual
MARY E BALDWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
15115 RANKIN AVE, DUNLAP, TN 37327
(423) 949-2224
(423) 949-5935
Mailing address
PO BOX 1960, DUNLAP, TN 37327-1960
(423) 949-2224
(423) 949-5935
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD19169
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3048714
—
TN
Enumeration date
04/10/2006
Last updated
03/31/2010
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