| Doctor Name: | ANGELA RENAE BALDY |
| NPI Number: | 1124144688 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ARNP |
| License Number: | ARNP3034202 |
| Business Practice Address: | 414 Lugenia Dr Vidalia, GA - 304747210 |
| Business Phone Number: | 9125379355 |
| Business Fax Number: | |
| Mailing Address: | 112 Sunset Dr, VIDALIA |
| State: | GA |
| Postal Code: | 304743017 |
| Phone Number: | 8508198477 |
| Fax Number: | |
| NPI Enumeration Date: | 03/22/2007 |
| NPI Last Update Date: | 08/12/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0200X |
| License Number: | ARNP3034202 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | FL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |