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Individual

CYNTHIA C LOYD BALDWIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
629 HIGHWAY 28 BYP, ANDERSON, SC 29624-3009
(864) 642-0129
Mailing address
1090 NORTHCHASE PKWY SE, MARIETTA, GA 30067-6405
(864) 642-0129

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2281
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
002281
SC
Enumeration date
12/28/2006
Last updated
10/02/2014
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