Individual
MRS. MICHELLE BAXLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN,MSN
Contact information
Practice address
1205 S MAIN ST, MARION, SC 29571-4951
(843) 423-2571
Mailing address
542 MEARES RD, NICHOLS, SC 29581-7122
(843) 616-3228
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
79014
SC
Other
Enumeration date
04/09/2013
Last updated
04/09/2013
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