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Individual

CECELIA MARIE BASKETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1316 N LAKE DR, LEXINGTON, SC 29072-7653
(803) 358-1191
(803) 354-1180
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
2009017779
MO
207Q00000X
Family Medicine Physician
Primary
33498
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
334980
SC
Enumeration date
07/08/2009
Last updated
06/30/2022
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