| NPI | 1316565260 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RON'NISHA D BALDWIN Np 910-918-0633 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 133NN1002X Nutritionist, Nutrition, Education |
| 2083A0300X Preventive Medicine, Addiction Medicine | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2020-07-08 |
| Last Update Date | 2020-07-08 |