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NPI Code Detail

MEDICARE: BAPTIST EASLEY HOSPITAL

MEDICARE: BAPTIST EASLEY HOSPITAL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207VX0000XObstetrics PhysicianSC

General Provider Information

NPI Number : 1033341771
Entity Type Code : Organization
Provider Name (Legal Business Name) : BAPTIST EASLEY HOSPITAL
Provider Business Mailing Address
First Line : PO BOX 2089
Second Line :
City : EASLEY
State : SC
Zip : 29641-2089
Country : US
Telephone Number : 864-442-7557
Fax Number : 864-442-7579
Provider Business Practice Location Address
First Line : 1351 CRESTVIEW RD
Second Line :
City : EASLEY
State : SC
Zip : 29642-2408
Country : US
Telephone Number : 864-442-7557
Fax Number : 864-442-7579
Authorized Official
Title or Position : VICE PRESIDENT OF FINANCE
Name : JAMES LARRY POPE
Credential :
Telephone Number : 864-442-7610
Provider Enumeration Date : 08/13/2009
Last Update Date : 12/18/2009

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Directions to “BAPTIST EASLEY HOSPITAL ” Practice Location

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