MEDICARE: DR. CHARLES JOSEPH BALDWIN D.C.

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
1	111N00000X	Chiropractor	DC0000000721	TN
2	111N00000X	Chiropractor	1808	NC
3	246QM0706X	Medical Technologist	ML0000013693	TN
4	246QM0706X	Medical Technologist	MT-163458 (ASCP)	TN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	B966	OTHER	TN	EMC
2	1808	OTHER	NC	NC STATE LICENSE
3	DC0000000721	OTHER	TN	TN STAT LICENSE
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1578595716
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHARLES JOSEPH BALDWIN D.C.

Provider Business Mailing Address
First Line	:	1746 KIVETT DR
Second Line	:
City	:	NEW MARKET
State	:	TN
Zip	:	37820-3626
Country	:	US
Telephone Number	:	865-475-1703
Fax Number	:	865-475-1703

Provider Business Practice Location Address
First Line	:	1746 KIVETT DR
Second Line	:
City	:	NEW MARKET
State	:	TN
Zip	:	37820-3626
Country	:	US
Telephone Number	:	865-475-1703
Fax Number	:	865-475-1703

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/07/2006
Last Update Date	:	09/11/2025

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Directions to “ DR. CHARLES JOSEPH BALDWIN D.C.” Practice Location

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