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Organization
BAPTIST EASLEY
Active
Organization
BAPTIST EASLEY
Active
Other names
Medical Center Powdersville
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES LARRY POPE (FINANCE DIRECTOR/CFO)
(864) 552-7610
Entity
Organization
Contact information
Practice address
11402 ANDERSON RD, GREENVILLE, SC 29611-7502
(864) 631-2799
(864) 631-2795
Mailing address
1 INDEPENDENCE PT, SUITE 212, GREENVILLE, SC 29615-4545
(864) 797-6044
(864) 797-6198
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
—
NULL
207P00000X
Emergency Medicine Physician
—
—
207Q00000X
Family Medicine Physician
—
NULL
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
NULL
207X00000X
Orthopaedic Surgery Physician
—
—
208000000X
Pediatrics Physician
Primary
—
NULL
208000000X
Pediatrics Physician
Primary
—
—
208600000X
Surgery Physician
—
NULL
208600000X
Surgery Physician
—
—
Other
Enumeration date
07/30/2012
Last updated
11/28/2012
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