Individual
MRS. DODI LYNN BAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
9267 MEDICAL PLAZA DR STE G, NORTH CHARLESTON, SC 29406-9139
(843) 797-3636
Mailing address
9267 MEDICAL PLAZA DR STE G, N CHARLESTON, SC 29406-9139
(843) 797-3636
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
20330
SC
363LF0000X
Family Nurse Practitioner
Primary
207366
SC
Other
Enumeration date
08/12/2016
Last updated
11/03/2021
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