Provider Demographics
NPI:1801326004
Name:BALDWIN, CAROLYN WRAY
Entity type:Individual
Prefix:
First Name:CAROLYN
Middle Name:WRAY
Last Name:BALDWIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4473 JACKSON RD
Mailing Address - Street 2:
Mailing Address - City:COTTONDALE
Mailing Address - State:FL
Mailing Address - Zip Code:32431-6525
Mailing Address - Country:US
Mailing Address - Phone:850-272-2601
Mailing Address - Fax:
Practice Address - Street 1:4473 JACKSON RD
Practice Address - Street 2:
Practice Address - City:COTTONDALE
Practice Address - State:FL
Practice Address - Zip Code:32431-6525
Practice Address - Country:US
Practice Address - Phone:850-272-2601
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-19
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care