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Otis Jeffrey Baty, PNP
Pediatric Nurse Practitioner in Supply, North Carolina
NPI 1700850658

Otis Jeffrey Baty is a Pediatric Nurse Practitioner based in Wilmington, NC and is specialized in Pediatrics. Otis Jeffrey Baty practices in Supply, NC and has the professional credentials of PNP. The NPI Number for Otis Jeffrey Baty is 1700850658 and holds a License No. (North Carolina).

The current practice location address for Otis Jeffrey Baty is 20 Medical Campus Dr Ste 207, Supply, NC and can be reached out via phone at 910-755-5066.

Location: 20 Medical Campus Dr Ste 207, Supply, NC, 28411-8716
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1700850658
Provider Name
Otis Jeffrey Baty
Credential
PNP
Provider Entity Type
Individual
Gender
Male
Address
20 Medical Campus Dr Ste 207, Supply, NC, 28411-8716
Phone Number
910-755-5066
Fax Number
Provider Enumeration Date
02/16/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
20 Medical Campus Dr Ste 207
City
Supply
State
North Carolina
Zip
28462-4094
Phone Number
910-755-5066
Fax Number
person
Provider Business Mailing Address Details
Address
20 Medical Campus Dr Ste 207
City
Supply
State
North Carolina
Zip
28462-4094
Phone Number
910-755-5066
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
363LP0200X
License No.
(North Carolina)
Definition
Definition to come...
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