Individual
DR. FREDERIQUE C BAILLIARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4301 LAKE BOONE TRL STE 300, RALEIGH, NC 27607-7507
(919) 890-5566
(919) 896-7494
Mailing address
4301 LAKE BOONE TRL STE 300, RALEIGH, NC 27607-7507
(919) 890-5566
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
200301320
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5910173
—
ND
05
—
5920625
—
NC
Enumeration date
07/16/2007
Last updated
06/11/2021
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