Doctor Name: | KIM TIMMERMAN BAIRD |
NPI Number: | 1790755585 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP |
License Number: | R051587 |
Business Practice Address: | 308 Bedell Ave Woodbine, GA - 315690307 |
Business Phone Number: | 9125765999 |
Business Fax Number: | 9125765888 |
Mailing Address: | 308 Bedell Ave, WOODBINE |
State: | GA |
Postal Code: | 315690308 |
Phone Number: | 9125765999 |
Fax Number: | 9125765888 |
NPI Enumeration Date: | 01/24/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | R051587 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |