Organization
AIKEN FAMILY PHYSICIANS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN B BAXLEY III M.D. (PRESIDENT)
(803) 643-2752
Entity
Organization
Contact information
Practice address
60 PHYSICIAN DR, SUITE 200, AIKEN, SC 29801-6388
(803) 502-0502
(803) 502-0588
Mailing address
60 PHYSICIAN DR, SUITE 200, AIKEN, SC 29801-6388
(803) 502-0502
(803) 502-0588
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
8997
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP4609
—
SC
Enumeration date
08/22/2006
Last updated
07/16/2009
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