Individual
DEREK BAXTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2500 WINCHESTER PL STE 103, SPARTANBURG, SC 29301-1550
(864) 913-1092
Mailing address
2500 WINCHESTER PL STE 103, SPARTANBURG, SC 29301-1550
(864) 913-1092
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
HAS-0665
—
Other
Enumeration date
08/12/2019
Last updated
08/12/2019
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