Individual
GEORGE TIMOTHY BAXLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
220 KEOWEE TRL, CLEMSON, SC 29631-1448
(864) 653-4071
(864) 653-4074
Mailing address
PO BOX 2089, EASLEY, SC 29641-2089
(864) 855-5104
(864) 855-5880
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
19588
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
195880
—
SC
Enumeration date
11/02/2005
Last updated
07/29/2013
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