Nathan W Baldwin Md Pa | |
100 Hospital St Suite 100 Booneville MS 38829-3354 | |
(662) 820-1600 | |
(662) 720-1664 |
Full Name | Nathan W Baldwin Md Pa |
---|---|
Speciality | Internal Medicine |
Location | 100 Hospital St, Booneville, Mississippi |
Authorized Official Name and Position | Nathan Ward Baldwin (PHYSICIAN) |
Authorized Official Contact | 6627201600 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Nathan W Baldwin Md Pa 100 Hospital St Ste 100 P. O. Box 70 Booneville MS 38829-3354 Ph: (662) 720-1600 | Nathan W Baldwin Md Pa 100 Hospital St Suite 100 Booneville MS 38829-3354 Ph: (662) 820-1600 |
NPI Number | 1003956459 |
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Provider Enumeration Date | 02/07/2007 |
Last Update Date | 11/03/2010 |
Medicare PECOS PAC ID | 5193774339 |
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Medicare Enrollment ID | O20050114000450 |
Identifier | Type | State | Issuer |
---|---|---|---|
1003956459 | NPI | - | NPPES |
09015455 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 15031 (Mississippi) | Primary |
208000000X | Pediatrics | 15031 (Mississippi) | Secondary |
Provider Name | Nathan Ward Baldwin |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1235279688 PECOS PAC ID: 6800845041 Enrollment ID: I20050114000515 |
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