HomeNPI Verification

NPI Verification

National Provider Identifier: 1801642707

Elijah Scott Bausum, Agnp-C

Individual Provider

Credentials

AGNP-C

Primary Specialty

Urology

Code: 208800000X

Practice Address

704 HAILE ST

SUMTER, SC 291503144

Phone: 803-464-2698

NPI Enumeration Date

April 30, 2024

NPI Number

1801642707

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry