Individual
DR. LUKE D BAXLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
955 RIBAUT RD, BEAUFORT, SC 29902-5441
(843) 522-5202
Mailing address
9 PETIGRU DR, BEAUFORT, SC 29902-5288
(843) 858-1098
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
TL33510
SC
Other
Enumeration date
06/14/2008
Last updated
09/13/2011
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