Individual
CAROLINE TATE BALDWYN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1607 DOCTORS DR, MADISON, MS 39110-7345
(769) 300-2100
Mailing address
1607 DOCTORS DR, MADISON, MS 39110-7345
(769) 300-2100
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
00532
MS
Other
Enumeration date
02/12/2021
Last updated
02/12/2021
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