Individual
JOEL G BAILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
119 LIBRARY HILL LN, LEXINGTON, SC 29072-3893
(803) 359-2110
(803) 359-2314
Mailing address
119 LIBRARY HILL LN, LEXINGTON, SC 29072-3893
(803) 359-2110
(803) 359-2314
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
705
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
D07053
—
SC
Enumeration date
12/29/2005
Last updated
11/12/2013
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