Individual
SHAWNA BAXTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
233 E BLACKSTOCK RD STE D, SPARTANBURG, SC 29301-2652
(864) 586-5004
Mailing address
233 E BLACKSTOCK RD STE D, SPARTANBURG, SC 29301-2652
(864) 586-5004
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
8638
SC
Other
Enumeration date
06/08/2015
Last updated
11/19/2024
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