Individual
MARGARET BAURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
200 S HERLONG AVE STE A, ROCK HILL, SC 29732-1182
(803) 328-1864
(803) 328-1865
Mailing address
6035 FAIRVIEW RD, CHARLOTTE, NC 28210-3256
(704) 295-3000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
006884
GA
363A00000X
Physician Assistant
Primary
2780
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1692PA
—
SC
Enumeration date
08/14/2013
Last updated
04/27/2021
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