Individual
LUNA BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2520 ABERDEEN BLVD, GASTONIA, NC 28054-0635
(704) 868-8400
(704) 868-8400
Mailing address
2520 ABERDEEN BLVD, GASTONIA, NC 28054-0635
(704) 868-8400
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
200401468
NC
207Y00000X
Otolaryngology Physician
202212868
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5901043
—
NC
05
—
GP4146
—
SC
Enumeration date
05/22/2006
Last updated
07/02/2012
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