ELIJAH SCOTT BAUSUM

SUMTER, SC
NPI1801642707
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208800000X Urology
(Licence: SC  28689)
Enumeration Date2024-04-30
Last Update Date2024-04-30
Business Address
ELIJAH SCOTT BAUSUM AGNP-C
1285 WILSON HALL RD
SUMTER, SC 29150-1804
Phone number: 803-905-3555
Mailing Address
ELIJAH SCOTT BAUSUM AGNP-C
704 HAILE ST
SUMTER, SC 29150-3144
Phone number: 803-464-2698
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