Individual
GARY BAGGETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
101 E WOOD ST, EMERGENCY CENTER, SPARTANBURG, SC 29303-3040
(864) 560-6000
(864) 560-4413
Mailing address
202 BAY SHORE DR, BELMONT, NC 28012-8710
(704) 825-3605
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
997
SC
207P00000X
Emergency Medicine Physician
OS005488L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009975
—
SC
01
—
198714
MEDCOST
SC
01
—
20062701
SELECT HEALTH
SC
05
—
5906417
—
NC
01
—
5912089
AETNA
SC
01
—
P00879457
RAILROAD MEDICARE
SC
Enumeration date
08/17/2006
Last updated
03/15/2011
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