Baxley, George Timothy
Baxley, George Timothy is an individual health care provider with primary practice located at 220 Keowee Trl , Clemson SC 29631-1448. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Baxley, George Timothy can be contacted via phone (864) 653-4071.Contact Information
Primary practice address
220 Keowee Trl
Clemson SC 29631-1448
Phone: (864) 653-4071
Fax: (864) 653-4074
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 19588 | South Carolina |
Profile Details
| NPI number | 1023009701 |
|---|---|
| LBN Legal business name | Baxley, George Timothy |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 2nd, 2005 |
| Last updated | Jul 29th, 2013 - about 11 years 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1023009701 | NPPES |
| South Carolina | MEDICAID | 195880 |
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