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NPI Code Detail

MEDICARE: MRS. CHERYL G BAXTER CPNP-PC

MEDICARE: MRS. CHERYL G BAXTER CPNP-PC
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
1363LP0200XPediatric Nurse Practitioner28478SC

General Provider Information

NPI Number : 1992786461
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. CHERYL G BAXTER CPNP-PC
Provider Business Mailing Address
First Line : 171 ASHLEY AVE
Second Line :
City : CHARLESTON
State : SC
Zip : 29425-0100
Country : US
Telephone Number : 843-792-1414
Fax Number :
Provider Business Practice Location Address
First Line : 171 ASHLEY AVE
Second Line :
City : CHARLESTON
State : SC
Zip : 29425-0100
Country : US
Telephone Number : 843-792-1414
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/10/2005
Last Update Date : 09/05/2025

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