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Contact Information

RENITA M BALDON
4668 GOLDEN WEST CV
SOUTHAVEN, MS38671-5049
 Phone: 662-671-0665
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychosomatic Medicine

2084P0015X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for RENITA M BALDON · (Female)

NPI Number 1750234290
Status Active
Credentials
Entity Individual
Enumeration date 02/16/2026
Last updated 02/16/2026 - About 4 months ago
Sole proprietor 1 No
Identifiers
  • MS License # 919439
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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