Individual
RALPH LEE BAISDEN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
1409 W GEORGIA RD STE B, SIMPSONVILLE, SC 29680-6420
(864) 454-5000
(864) 241-9231
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
20736
SC
363LF0000X
Family Nurse Practitioner
ARNP1175352
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP4409
—
SC
Enumeration date
09/26/2006
Last updated
07/19/2021
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