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Individual

DR. OTIS L BAUGHMAN III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
101 E WOOD ST, SPARTANBURG, SC 29303-3040
(864) 560-6644
(864) 560-6063
Mailing address
101 E WOOD ST, SPARTANBURG, SC 29303-3040
(864) 560-6644
(864) 560-6063

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
B 8802
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
GP1351
SC
Enumeration date
04/19/2006
Last updated
11/07/2012
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