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Contact Information

STEPHANIE C BAXLEY, R.D.
955 RIBAUT RD
BEAUFORT, SC29902
 Phone: 843-522-5200
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dietitian, Registered

133V00000X 71 Registered Dietitian or Nutrition Professional
Indicates primary specialty

NPI Profile & details for STEPHANIE C BAXLEY · (Female)

NPI Number 1053746164
Status Active
Credentials R.D.
Entity Individual
Enumeration date 09/09/2013
Last updated 07/23/2019 - About 7 years ago
Sole proprietor 1 Yes
Identifiers
  • GA License # LD004069
  • SC License # 1605
  • SC Medicaid DT1146
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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