Individual
LIDIA C BALDEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10 ENTERPRISE BLVD STE 111, COVENANT INTERNAL MEDICINE, GREENVILLE, SC 29615-3534
(864) 365-0200
(864) 365-0205
Mailing address
PO BOX 743294, ATLANTA, GA 30374-3294
(864) 365-0020
(864) 365-0205
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
27049
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
270496
—
SC
Enumeration date
07/20/2006
Last updated
11/28/2016
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