| Vernon T. Baldwin, M.d.,p.c. | |
|
2104 Loop Rd Suite E Winnsboro LA 71295-3338 | |
| (318) 435-4084 | |
| (318) 435-9260 |
| Full Name | Vernon T. Baldwin, M.d.,p.c. |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 2104 Loop Rd, Winnsboro, Louisiana |
| Authorized Official Name and Position | Vernon T Baldwin (OWNER PRESIDENT) |
| Authorized Official Contact | 3184354084 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vernon T. Baldwin, M.d.,p.c. Po Box 430 Winnsboro LA 71295-0430 Ph: (318) 435-4084 | Vernon T. Baldwin, M.d.,p.c. 2104 Loop Rd Suite E Winnsboro LA 71295-3338 Ph: (318) 435-4084 |
| NPI Number | 1558404905 |
|---|---|
| Provider Enumeration Date | 02/15/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558404905 | NPI | - | NPPES |
| 1003191 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 6952 (Louisiana) | Primary |
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