Healthcare Provider Details

I. General information

NPI: 1659341444
Provider Name (Legal Business Name): ANNE MEREDITH BAUGHMAN M.S.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/24/2006
Last Update Date: 03/20/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 BLYTHE BLVD CAROLINAS MEDICAL CENTER, CLINICAL GENETICS
CHARLOTTE NC
28203-5812
US

IV. Provider business mailing address

8016 WATERFORD LAKES DR APT #531
CHARLOTTE NC
28210-7455
US

V. Phone/Fax

Practice location:
  • Phone: 704-355-2188
  • Fax: 704-355-8700
Mailing address:
  • Phone: 515-321-0388
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code170300000X
TaxonomyGenetic Counselor (M.S.)
License Number
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: