# BAPTIST EASLEY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Heritage Pediatrics & Internal Medicine Wren
- **Organization subpart:** No

## Provider details

- **NPI number:** 1427481274
- **Authorized official:** MR. JAMES LARRY POPE (FINANCE DIRECTOR/CFO)
- **Authorized official phone:** (864) 552-7610

## Contact information

- **Practice address:** 1115 WREN SCHOOL RD, PIEDMONT, SC 29673-8033
- **Practice address phone:** (864) 859-0740
- **Practice address fax:** (864) 859-9008
- **Mailing address:** 1 INDEPENDENCE PT, SUITE 212, GREENVILLE, SC 29615-4545
- **Mailing address phone:** (864) 797-6044
- **Mailing address fax:** (864) 797-6198

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 208000000X | Pediatrics Physician | — | NULL | Yes |
| 208000000X | Pediatrics Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/15/2013
- **Last updated:** 08/15/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | GP5967 | — | SC |