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ELIJAH BAUSUM, AGNP-C
AGNP-C
Urology Physician
NPI: 1801642707IndividualAccepts Medicare
Specialties, Licenses & Credentials
Urology PhysicianPrimary
Urology
Code: 208800000X
28689(SC)
CMS Specialties
PrimaryNURSE PRACTITIONER
Education
OTHER
Class of 2024
Contact & Hours
- Address
- 1285 WILSON HALL RD
SUMTER, SC 29150 - Phone
- (803) 905-3555
Quick Facts
- NPI
- 1801642707
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Accepted
- Specialties
- 1
- Locations
- 1
- Years in Practice
- 2
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