Individual
DR. BYRON N BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2145 HENRY TECKLENBURG DR, STE 200, CHARLESTON, SC 29414-5893
(843) 723-8823
(843) 722-8124
Mailing address
PO BOX 751649, CHARLOTTE, NC 28275-1649
(843) 789-1620
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
12640
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12640
—
SC
01
—
P00727287
RAILROAD MEDICARE ID-RSFPP
SC
Enumeration date
06/02/2006
Last updated
11/10/2020
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