Individual
CHRISTINA GRACE BAXTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
316 CALHOUN ST, CHARLESTON, SC 29401-1113
(843) 402-1638
(843) 724-2455
Mailing address
PO BOX 751461, CHARLOTTE, NC 28275-1461
(843) 792-6200
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
19621
SC
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
19621
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP3379
—
SC
Enumeration date
08/12/2015
Last updated
10/28/2020
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