Individual
BAOLAM HO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
722 HYATT ST STE C, GAFFNEY, SC 29341-2644
(644) 892-4008
(864) 488-3987
Mailing address
PO BOX 277723, ATLANTA, GA 30384-7723
(864) 560-4123
(864) 560-4023
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
90055
SC
Other
Enumeration date
06/08/2020
Last updated
08/09/2023
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