Individual
DR. MARY JOHN BAXLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
403 PARKWAY DRIVE, SUITE B, GREENSBORO, NC 27401
(336) 272-2119
(336) 272-6758
Mailing address
403 PARKWAY DRIVE, SUITE B, GREENSBORO, NC 27401
(336) 272-2119
(336) 272-6758
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
27357
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8913964
—
NC
Enumeration date
04/05/2006
Last updated
08/11/2021
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