Individual
DR. CARY GRESHAM BAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5030 CAMINO DE LA SIESTA, SUITE 208, SAN DIEGO, CA 92108-3117
(619) 260-6300
(619) 260-6313
Mailing address
5030 CAMINO DE LA SIESTA, SUITE 208, SAN DIEGO, CA 92108-3117
(619) 260-6300
(619) 260-6313
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
G48422
CA
207Q00000X
Family Medicine Physician
G48422
CA
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
G48422
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G484220
—
CA
01
—
R059973A
MEDICARE ID
CA
01
—
ZZZ61626Z
BLUE SHIELD
CA
Enumeration date
07/23/2006
Last updated
12/20/2007
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