Baxley, Elaine B

Baxley, Elaine B is an sole proprietor health care provider with primary practice located at 643 Highway 1 S , Lugoff SC 29078-9174. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Occupational Medicine. Allopathic & Osteopathic Physicians / Occupational Medicine is her primary health care specialty. Baxley, Elaine B can be contacted via phone (803) 243-0988.

Contact Information

Primary practice address
643 Highway 1 S Lugoff SC 29078-9174
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 12579 South Carolina
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 12579 South Carolina
Allopathic & Osteopathic Physicians / Occupational Medicine 2083X0100X 12579 South Carolina

Profile Details

NPI number 1831150226
LBN Legal business name Baxley, Elaine B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 28th, 2006
Last updated Jul 12th, 2024 - about 5 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831150226 NPPES
South Carolina MEDICAID 125796

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