Basic Information
Provider Information
NPI: 1043536907
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BALDWIN
FirstName: MELODY
MiddleName: ANITA
NamePrefix: DR.
NameSuffix:  
Credential: M.D, M.P.H.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: RUSSELL
OtherFirstName: MELODY
OtherMiddleName: ANITA
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential: M.D., M.P.H.
OtherLastNameType: 1
Mailing Information
Address1: OFFICE OF GRADUATE MEDICAL EDUCATION
Address2: DUKE UNIVERSITY HOSPITAL, BOX 3951
City: DURHAM
State: NC
PostalCode: 277100001
CountryCode: US
TelephoneNumber: 9196843491
FaxNumber: 9196848565
Practice Location
Address1: OFFICE OF GRADUATE MEDICAL EDUCATION
Address2: DUKE UNIVERSITY HOSPITAL, BOX 3951
City: DURHAM
State: NC
PostalCode: 277100001
CountryCode: US
TelephoneNumber: 9196843491
FaxNumber: 9196848565
Other Information
ProviderEnumerationDate: 04/15/2010
LastUpdateDate: 02/28/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207V00000X2014-01709NCY Allopathic & Osteopathic PhysiciansObstetrics & Gynecology 

No ID Information.


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