Provider Demographics
NPI:1013400449
Name:BALDWIN, LEAH DUNKS (DO)
Entity Type:Individual
Prefix:DR
First Name:LEAH
Middle Name:DUNKS
Last Name:BALDWIN
Suffix:
Gender:F
Credentials:DO
Other - Prefix:DR
Other - First Name:LEAH
Other - Middle Name:NICOLE
Other - Last Name:DUNKS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DO
Mailing Address - Street 1:29 E 29TH ST
Mailing Address - Street 2:
Mailing Address - City:BAYONNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07002-4654
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1405 COWART ST STE 201
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37408-1178
Practice Address - Country:US
Practice Address - Phone:423-266-3331
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-11
Last Update Date:2023-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
TNDO0000005196208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program