Individual
DR. KATLYN L BAXTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
805 PAMPLICO HIGHWAY. MEDICAL PAVILION B, SUITE 300, FLORENCE, SC 29505
(843) 676-7529
(843) 673-7532
Mailing address
PO BOX 935722, ATLANTA, GA 31193-5722
(843) 792-6200
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
34.012961
OH
207RP1001X
Pulmonary Disease Physician
Primary
83790
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001106511
ANTHEM
OH
05
—
0124996
—
OH
01
—
H494270
MEDICARE
OH
Enumeration date
04/07/2014
Last updated
03/18/2022
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