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Search › South Carolina › 208800000X

Elijah Bausum, AGNP-C

NPI 1801642707 · on the registry since 2024

Practice

Address
1285 Wilson Hall Rd
Sumter, SC 29150
Phone
(803) 905-3555
Organisation at this address
Urology Clinic, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Registry record

Primary taxonomy
208800000X
208800000X
Licence states on file
SC
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-04-30

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in South Carolina