Individual
COURTNEY BALDWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSA
Contact information
Practice address
2403 SPURGEON ST, WAYCROSS, GA 31501
(912) 281-9105
Mailing address
901 EMERALD CT, WOODSTOCK, GA 30189-5183
(912) 281-9105
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
4601
GA
246ZS0410X
Surgical Technologist
144370
GA
Other
Enumeration date
12/01/2015
Last updated
07/21/2022
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