Individual
MR. STEPHEN BALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1500 E WOODROW WILSON AVE, JACKSON, MS 39216-5116
(601) 362-4471
Mailing address
3793 COKER RD, MADISON, MS 39110-7137
(601) 856-3220
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R760315
MS
Other
Enumeration date
08/29/2008
Last updated
08/29/2008
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