Provider Demographics
NPI:1972799062
Name:BALDWIN, FIONA CAROLYN (MD)
Entity type:Individual
Prefix:DR
First Name:FIONA
Middle Name:CAROLYN
Last Name:BALDWIN
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:3495 PIEDMONT RD NE
Mailing Address - Street 2:NINE PIEDMONT CENTER
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30305-1717
Mailing Address - Country:US
Mailing Address - Phone:404-364-7070
Mailing Address - Fax:678-490-0091
Practice Address - Street 1:5440 HILLANDALE DR
Practice Address - Street 2:KAISER PERMANENTE PANOLA MEDICAL CENTER
Practice Address - City:LITHONIA
Practice Address - State:GA
Practice Address - Zip Code:30058-4865
Practice Address - Country:US
Practice Address - Phone:770-322-3290
Practice Address - Fax:678-490-0091
Is Sole Proprietor?:No
Enumeration Date:2007-09-21
Last Update Date:2022-01-07
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Provider Licenses
StateLicense IDTaxonomies
GA065930207Q00000X
NJ25MA08312000207Q00000X
GA65930207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA003113166AMedicaid
NJ116800YBAWMedicare PIN
GA003113166AMedicaid