Elijah Scott Bausum, AGNP-C

NPI #1801642707 in Sumter, South Carolina

Provider Information

NPI Number: 1801642707
Entity Type: Individual
Name: Elijah Scott Bausum, AGNP-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Urology
Credential: AGNP-C
Enumeration Date: Apr 30, 2024
Last Updated: Apr 30, 2024

Practice Location

Address: 1285 WILSON HALL RD
City: Sumter
State: South Carolina
ZIP Code: 29150-1804
Phone: (803) 905-3555

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Urology	208800000X	Primary

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