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NPI Code Detail

MEDICARE: ASHLEY NICOLE BAUER

MEDICARE: ASHLEY NICOLE BAUER
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
1363A00000XPhysician Assistant

General Provider Information

NPI Number : 1265296883
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASHLEY NICOLE BAUER
Provider Business Mailing Address
First Line : 300 PALMETTO HEALTH PKWY STE 300
Second Line :
City : COLUMBIA
State : SC
Zip : 29212-1763
Country : US
Telephone Number : 803-907-7300
Fax Number :
Provider Business Practice Location Address
First Line : 300 PALMETTO HEALTH PKWY STE 300
Second Line :
City : COLUMBIA
State : SC
Zip : 29212-1763
Country : US
Telephone Number : 803-907-7300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/13/2024
Last Update Date : 01/07/2026

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Directions to “ ASHLEY NICOLE BAUER ” Practice Location

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