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Individual

MARIA BAENS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
200 MIDDLEBURG DR, MYRTLE BEACH, SC 29579-3408
(843) 903-6650
(843) 903-0758
Mailing address
1818 HENDERSON ST, COLUMBIA, SC 29201-2619
(803) 758-2602
(803) 253-8896

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
15077
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
150776
SC
Enumeration date
06/22/2005
Last updated
10/20/2015
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