Individual
DR. JOHN BAYNARD BAXLEY III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2604 PEACH ORCHARD ROAD, SUITE 200, AUGUSTA, GA 30906
(706) 798-4673
(706) 798-7378
Mailing address
2604 PEACH ORCHARD ROAD, SUITE 200, AUGUSTA, GA 30906
(706) 798-4673
(706) 798-7378
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
16872
GA
207Q00000X
Family Medicine Physician
8997
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
089978
—
SC
Enumeration date
07/12/2006
Last updated
10/27/2010
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