Individual
BAXTER MCLENDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
333 REVOLUTIONARY TRL, FAIRFAX, SC 29827-7109
(803) 632-2533
(803) 632-2451
Mailing address
PO BOX 599, BRUNSON, SC 29911-0599
(803) 632-1699
(803) 632-2451
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
6266
SC
207W00000X
Ophthalmology Physician
Primary
6266
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
062666
—
SC
05
—
GP1355
—
SC
05
—
GP2629
—
SC
Enumeration date
05/12/2006
Last updated
11/15/2023
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