Individual
MRS. MARY J BAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
1002817 NCCPA
Contact information
Practice address
VAMC 1540 SPRING VALLEY DR, HUNTINGTON, WV 25704
(800) 827-8244
Mailing address
3931 LEIGHWOOD DR, ASHLAND, KY 41102-6711
(606) 324-4677
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1002817
DC
Other
Enumeration date
07/07/2006
Last updated
07/08/2007
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