Organization
THE BAXTER CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANN INGRAM BAXTER (OFFICE MANAGER)
(770) 739-9971
Entity
Organization
Contact information
Practice address
5914 LOVE ST, AUSTELL, GA 30168-4033
(770) 739-9971
Mailing address
5914 LOVE ST, AUSTELL, GA 30168-4033
(770) 739-9971
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
027963
GA
Other
Enumeration date
01/31/2007
Last updated
08/22/2020
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