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Organization
PIEDMONT FAMILY PRACTICE AT BAXTER VILLAGE, LLC
Active
Organization
PIEDMONT FAMILY PRACTICE AT BAXTER VILLAGE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WESLEY O. JAMES (REGIONAL CFO, TENET)
(404) 265-5009
Entity
Organization
Contact information
Practice address
502 SIXTH BAXTER XING, STE A, FORT MILL, SC 29708-6428
(803) 835-2088
(803) 835-2099
Mailing address
PO BOX 742746, ATLANTA, GA 30374-2746
(803) 835-2088
(803) 835-2099
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
09/12/2013
Last updated
06/23/2016
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