Individual
RICHARD L BALDWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1061 HARMON AVE, FORT STEWART, GA 31314-5641
(912) 435-6965
Mailing address
1061 HARMON AVE, FORT STEWART, GA 31314-5641
(912) 435-6965
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
023894
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00274755A
—
GA
05
—
00274755B
—
GA
Enumeration date
04/22/2006
Last updated
03/24/2017
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