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Individual

ANTHONY JASON BAUGH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
2475 BROAD ST, SUMTER, SC 29150-1820
(803) 778-6555
Mailing address
401 ARNOLD CT, TRAVIS AFB, CA 94535-1300
(210) 562-0890

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary

Other

Enumeration date
05/07/2019
Last updated
04/20/2020
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