Kim T. Baird, FNP-CS

Organization Active NPI Family Nurse Practitioner · Woodbine, GA

NPI 1750508602 · NPPES record last updated Sep 21, 2023

Key facts

NPI
1750508602
Entity type
Organization (NPI type 2)
Primary specialty
Family Nurse Practitioner 363LF0000X
License
R051587 (GA)
Legal business name
KIM T. BAIRD, FNP-CS
Practice address
308 Bedell Ave
Woodbine, GA 31569-0308
Phone
(912) 576-5999
Fax
(912) 576-5888
NPI assigned
Apr 20, 2007
Organization subpart
No

Authorized official

Name
Delores Hamilton
Title
Office Manager
Phone
(912) 576-5999

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner
Group: 193400000X SINGLE SPECIALTY GROUP
363LF0000X R051587 GA Yes

Addresses

Primary practice location

308 Bedell Ave
Woodbine, GA 31569-0308

Mailing address

PO Box 307
Woodbine, GA 31569-0307
Phone (912) 576-5999

Other identifiers

IdentifierTypeStateIssuer
00632673DMedicaidGA

Other names

  • WOODBINE FAMILY CARE CENTER Doing business as

Other providers in Woodbine, GA

All providers in Woodbine, GA · Family Nurse Practitioner in Georgia

Sources for this page

Verify at the official NPI Registry.