Doctor Name: | BAXTER MCLENDON |
NPI Number: | 1033160254 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 6266 |
Business Practice Address: | 333 Revolutionary Trl Fairfax, SC - 298277109 |
Business Phone Number: | 8036322533 |
Business Fax Number: | 8036322451 |
Mailing Address: | Po Box 599, BRUNSON |
State: | SC |
Postal Code: | 299110599 |
Phone Number: | 8036321699 |
Fax Number: | 8036322451 |
NPI Enumeration Date: | 05/12/2006 |
NPI Last Update Date: | 01/14/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 6266 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | SC |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |