Baxter Mclendon
Ophthalmologist
333 Revolutionary Trl
Fairfax
, South Carolina 29827-7109
Baxter Mclendon
Ophthalmologist
333 Revolutionary Trl
Fairfax
, South Carolina 29827-7109
(803) 632-2451
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About
Features
Specialties
- Ophthalmologist
Languages spoken
- English
Location
First Address
- Baxter Mclendon
- Po Box 599
- Brunson, SC
- Zip : 29911-0599
- Fax : (803) 632-2451
- Phone : (803) 632-1699
Second Address
- Baxter Mclendon
- 333 Revolutionary Trl
- Fairfax, SC
- Zip : 29827-7109
- Fax : (803) 632-2451
- Phone : (803) 632-2533
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207W00000X | Ophthalmologist | 6266 | SC |
National Provider Identifier
| NPI | 1033160254 |
|---|---|
| Provider Name | Baxter Mclendon |
| First Address | Brunson, SC 29911-0599 |
| Second Address | Fairfax, SC 29827-7109 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 12/05/2006 |
| Last Update Date | 14/01/2013 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 062666 | (05) | SC |
| C60948 | (02) | SC |
| GP1355 | (05) | SC |
| GP2629 | (05) | SC |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.