Individual
MR. ELIJAH LEE TORRANCE BAUMGARTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1000 BLYTHE BLVD, CHARLOTTE, NC 28203-5812
(704) 355-0763
Mailing address
1000 BLYTHE BLVD, CHARLOTTE, NC 28203-5812
(704) 609-5654
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
TBD
NC
Other
Enumeration date
01/27/2025
Last updated
02/24/2025
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