# THE BAXTER CLINIC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164569158
- **Authorized official:** MRS. ANN INGRAM BAXTER (OFFICE MANAGER)
- **Authorized official phone:** (770) 739-9971

## Contact information

- **Practice address:** 5914 LOVE ST, AUSTELL, GA 30168-4033
- **Practice address phone:** (770) 739-9971
- **Mailing address:** 5914 LOVE ST, AUSTELL, GA 30168-4033
- **Mailing address phone:** (770) 739-9971

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 027963 | GA | Yes |

## Other

- **Enumeration date:** 01/31/2007
- **Last updated:** 08/22/2020