# BAPTIST EASLEY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Medical Center Powdersville
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508112459
- **Authorized official:** MR. JAMES LARRY POPE (FINANCE DIRECTOR/CFO)
- **Authorized official phone:** (864) 552-7610

## Contact information

- **Practice address:** 11402 ANDERSON RD, GREENVILLE, SC 29611-7502
- **Practice address phone:** (864) 631-2799
- **Practice address fax:** (864) 631-2795
- **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 |
| --- | --- | --- | --- | --- |
| 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 | — | NULL | Yes |
| 208000000X | Pediatrics Physician | — | — | Yes |
| 208600000X | Surgery Physician | — | NULL | — |
| 208600000X | Surgery Physician | — | — | — |

## Other

- **Enumeration date:** 07/30/2012
- **Last updated:** 11/28/2012