Individual
DR. EARLE EUGENE BAILLIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D,
Contact information
Practice address
800 N FANT ST, ANDERSON, SC 29621-5708
(800) 779-4858
(864) 231-6448
Mailing address
404 E CALHOUN ST, ANDERSON, SC 29621-5803
(800) 779-4858
(864) 231-6448
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
7122
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00180683A
—
GA
05
—
071228
—
SC
Enumeration date
02/03/2006
Last updated
10/08/2007
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