Individual
EMILY RENE BAILLIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
832 PRINCETON AVE SW, BIRMINGHAM, AL 35211-1320
(205) 397-8924
(205) 206-8363
Mailing address
832 PRINCETON AVE SW, BIRMINGHAM, AL 35211-1320
(205) 397-8924
(205) 206-8363
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
00016593
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
199147
—
AL
01
—
511-89344
BCBS OF AL
AL
Enumeration date
03/02/2006
Last updated
10/05/2021
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