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Individual

ELIZABETH ANNE BEATY BAUGHMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN, BSN

Contact information

Practice address
1020 DUTCH FORK RD, IRMO, SC 29063-8822
(803) 476-8000
Mailing address
1020 DUTCH FORK RD, IRMO, SC 29063-8822
(803) 476-8000

Taxonomy

Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
66169
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
66169
SC
Enumeration date
09/02/2015
Last updated
09/02/2015
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