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Physicians Family Medicine

Provider NPI: 1154859031

Organization Information:
Organization Name:  BAPTIST EASLEY
Organization is not Subpart
Authorized Official:  KATHLEEN M STAPLETON  CFO  864-442-8610

Practice Location:
200 FLEETWOOD DR  EASLEY, SC 29640-2022 US
Tel: 864-442-7200  Fax: 864-442-7579

Business Mailing Address:
Tel: 864-797-6044  Fax: 864-797-6198

NPI Information:
NPI: 1154859031
Entity Type: Organization


PrimaryCodeCategory/DescriptionStateLicense Number
Family Medicine
Internal Medicine
N363A00000XPhysician Assistants & Advanced Practice Nursing Providers
Physician Assistant
N363L00000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner

Other Provider Identifiers:


American Medical Association 2012 taxonomy code information

Code: 208M00000X





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