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NPI Code Detail

MEDICARE: BALDWIN PROFESSIONAL SERVICES PC

MEDICARE: BALDWIN PROFESSIONAL SERVICES PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1367500000XCertified Registered Nurse Anesthetist

General Provider Information

NPI Number : 1366954000
Entity Type Code : Organization
Provider Name (Legal Business Name) : BALDWIN PROFESSIONAL SERVICES PC
Provider Business Mailing Address
First Line : PO BOX 660257
Second Line :
City : BIRMINGHAM
State : AL
Zip : 35266-0257
Country : US
Telephone Number : 205-979-5882
Fax Number : 205-979-1248
Provider Business Practice Location Address
First Line : 30762 STATE HIGHWAY 181
Second Line :
City : SPANISH FORT
State : AL
Zip : 36527-5672
Country : US
Telephone Number : 251-626-0732
Fax Number :
Authorized Official
Title or Position : OWNER
Name : ERIN GUNNISON
Credential : CRNA
Telephone Number : 251-454-1228
Provider Enumeration Date : 11/03/2017
Last Update Date : 01/18/2023

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Directions to “BALDWIN PROFESSIONAL SERVICES PC ” Practice Location

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