# PIEDMONT INTERNAL MEDICINE AT BAXTER VILLAGE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Baxter Internal Medicine
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720092505
- **Authorized official:** MR. J. SCOTT RICHARDSON (VICE PRESIDENT)
- **Authorized official phone:** (469) 893-6960

## Contact information

- **Practice address:** 502 SIXTH BAXTER CROSSING, SUITE A, FORT MILL, SC 29708
- **Practice address phone:** (803) 802-2424
- **Practice address fax:** (803) 802-3767
- **Mailing address:** PO BOX 741344, ATLANTA, GA 30384-1344
- **Mailing address phone:** (803) 802-2424
- **Mailing address fax:** (803) 802-3767

## Taxonomy

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

## Other

- **Enumeration date:** 07/28/2006
- **Last updated:** 09/29/2010