Individual
LILLIAN GRACE BAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP
Contact information
Practice address
300 PALMETTO HEALTH PKWY STE 400, COLUMBIA, SC 29212
(803) 434-3800
Mailing address
PO BOX 743904, ATLANTA, GA 30374-3904
(803) 296-7320
(803) 296-7330
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
APN1544
SC
363LA2100X
Acute Care Nurse Practitioner
Primary
1544
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP0654
—
SC
Enumeration date
08/11/2005
Last updated
06/01/2021
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