Individual
THOMAS BAUMGARTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M D
Contact information
Practice address
11 PARK CREEK DR, GREENVILLE, SC 29605-4270
(864) 234-7654
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8614
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
15058
SC
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
15058
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1295769438
GROUP NPI
SC
05
—
150589
—
SC
Enumeration date
04/27/2006
Last updated
04/14/2021
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