Individual
BAILEY MADISON FITCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
9313 MEDICAL PLAZA DR STE 202, CHARLESTON, SC 29406-9176
(843) 572-1200
Mailing address
PO BOX 530062, ATLANTA, GA 30353-0062
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3599
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4244PA
—
SC
Enumeration date
10/21/2019
Last updated
04/23/2026
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