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Individual

MELINDA K BAILEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
12641
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
126410
SC
Enumeration date
08/29/2006
Last updated
09/19/2011
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