RUSSELL BALDWIN

KINGSPORT, TN
NPI1386491538
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2024-05-06
Last Update Date2024-05-06
Business Address
RUSSELL BALDWIN DO
102 E RAVINE RD
KINGSPORT, TN 37660-3814
Phone number: 423-245-9600
Mailing Address
RUSSELL BALDWIN DO
102 E RAVINE RD
KINGSPORT, TN 37660-3814
Phone number: 423-245-9600