Baisden, Ralph Lee

Baisden, Ralph Lee is an individual health care provider with primary practice located at 1409 W Georgia Rd Ste B , Simpsonville SC 29680-6420. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Baisden, Ralph Lee can be contacted via phone (864) 454-5000.

Contact Information

Primary practice address
1409 W Georgia Rd Ste B Simpsonville SC 29680-6420
Phone: (864) 454-5000
Fax: (864) 241-9231
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X ARNP1175352 Florida
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 20736 South Carolina

Profile Details

NPI number 1275634784
LBN Legal business name Baisden, Ralph Lee
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2006
Last updated Jul 19th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275634784 NPPES
South Carolina MEDICAID NP4409

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